Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $169.79	Facility		$76.14	$76.14	$169.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $76.14 / $79.40	Professional		$59.67	$76.14	$79.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $117.74 / $255.56	Professional		$66.91	$117.74	$255.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $34.85 / $49.81	Facility		$14.00	$34.85	$49.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $121.72 / $138.31	Professional		$14.63	$121.72	$138.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $67.53 / $156.11	Facility		$16.00	$67.53	$156.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $67.53 / $156.11	Facility		$16.00	$67.53	$156.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $20.80	Professional		$16.00	$16.00	$20.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $259.64	Professional		$55.00	$65.00	$259.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $67.53 / $156.11	Facility		$16.00	$67.53	$156.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.26 / $168.91 / $236.91	Professional		$118.26	$168.91	$236.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $387.65 / $387.65 / $387.65	Facility		$387.65	$387.65	$387.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $20.80	Professional		$16.00	$16.00	$20.80