Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $27.12 / $60.48	Facility		$27.12	$27.12	$60.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $27.12 / $28.28	Professional		$24.05	$27.12	$28.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $41.93 / $91.02	Professional		$26.48	$41.93	$91.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $112.58 / $160.93	Facility		$41.64	$112.58	$160.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $48.67 / $59.06	Professional		$43.34	$48.67	$59.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $28.98 / $47.14	Facility		$24.05	$28.98	$47.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $28.98 / $47.14	Facility		$24.05	$28.98	$47.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $61.28	Professional		$47.14	$47.14	$61.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $92.49	Professional		$55.00	$65.00	$92.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $28.98 / $47.14	Facility		$24.05	$28.98	$47.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $60.16 / $84.38	Professional		$42.12	$60.16	$84.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.20 / $208.20 / $208.20	Facility		$208.20	$208.20	$208.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $61.28	Professional		$47.14	$47.14	$61.28