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 $19.25 / $35.34 / $39.14	Professional		$19.25	$35.34	$39.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $80.03 / $122.77	Facility		$68.48	$80.03	$122.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $39.04 / $47.65	Professional		$18.97	$39.04	$47.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $36.10 / $47.12	Facility		$21.50	$36.10	$47.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $36.10 / $49.19	Facility		$21.36	$36.10	$49.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $45.00 / $149.71	Professional		$29.70	$45.00	$149.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $81.81	Professional		$50.00	$60.00	$81.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $36.10 / $47.12	Facility		$21.50	$36.10	$47.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $44.85 / $69.26	Professional		$24.82	$44.85	$69.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $43.96 / $122.12	Facility		$43.36	$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 Professional Modifier Low / Median / High Price $29.25 / $43.20 / $101.25	Professional		$29.25	$43.20	$101.25