Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $36.10	Facility		$36.10	$36.10	$36.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $35.00 / $38.38	Professional		$19.23	$35.00	$38.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $38.85 / $95.51	Professional		$22.55	$38.85	$95.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $156.75	Facility		$100.93	$117.94	$156.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $41.93 / $52.50	Professional		$18.97	$41.93	$52.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $36.10 / $47.12	Facility		$21.85	$36.10	$47.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $33.82 / $49.19	Facility		$21.85	$33.82	$49.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $48.88 / $149.71	Professional		$26.25	$48.88	$149.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $81.81	Professional		$50.00	$58.40	$81.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $36.10 / $47.12	Facility		$21.85	$36.10	$47.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $54.43 / $75.90	Professional		$29.66	$54.43	$75.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $43.96 / $122.12	Facility		$25.73	$43.96	$122.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $118.15 / $149.71	Professional		$18.97	$118.15	$149.71
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $48.06 / $100.38	Professional		$26.00	$48.06	$100.38