Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $120.73	Facility		$54.14	$54.14	$120.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $67.68	Professional		$54.14	$54.14	$67.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $57.53	Professional		$56.40	$56.40	$57.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.40 / $67.68 / $154.01	Facility		$56.40	$67.68	$154.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $58.09 / $70.50	Professional		$56.40	$58.09	$70.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $67.68 / $67.68	Facility		$54.14	$67.68	$67.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $101.52 / $101.52	Professional		$101.52	$101.52	$101.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $67.68 / $67.68	Facility		$54.14	$67.68	$67.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $77.22	Professional		$56.40	$56.40	$77.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $217.00	Professional		$85.00	$85.00	$217.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $67.68 / $67.68	Facility		$54.14	$67.68	$67.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $101.52 / $101.52	Professional		$101.52	$101.52	$101.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.95 / $293.95 / $293.95	Facility		$293.95	$293.95	$293.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $73.31	Professional		$56.40	$56.40	$73.31