Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $95.95 / $95.95	Facility		$95.95	$95.95	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $93.00 / $102.01	Professional		$46.62	$93.00	$102.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $89.78 / $228.86	Professional		$54.89	$89.78	$228.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.52 / $313.80 / $417.07	Facility		$268.52	$313.80	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $101.49 / $139.69	Professional		$45.92	$101.49	$139.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $95.95 / $125.24	Facility		$52.44	$95.95	$125.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $89.89 / $125.24	Facility		$54.00	$89.89	$125.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $117.98 / $362.37	Professional		$63.00	$117.98	$362.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $198.02	Professional		$50.00	$58.40	$198.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $95.95 / $125.24	Facility		$52.44	$95.95	$125.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $131.72 / $183.70	Professional		$71.78	$131.72	$183.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $106.40 / $295.58	Facility		$62.26	$106.40	$295.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $286.00 / $362.37	Professional		$45.92	$286.00	$362.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $117.30 / $243.24	Professional		$63.00	$117.30	$243.24