Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $109.43 / $113.33	Facility		$50.82	$109.43	$113.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $50.82 / $105.80	Professional		$50.82	$50.82	$105.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $120.66 / $125.15	Facility		$103.82	$120.66	$125.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $87.85	Professional		$52.94	$52.94	$87.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $66.18 / $144.59	Facility		$52.94	$66.18	$144.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $58.03 / $66.19	Professional		$53.89	$58.03	$66.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $50.82 / $56.12	Facility		$31.46	$50.82	$56.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $84.18	Professional		$22.98	$22.98	$84.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $55.76 / $56.12	Facility		$31.46	$55.76	$56.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $59.29 / $66.70	Professional		$52.94	$59.29	$66.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $65.00 / $85.00	Professional		$56.12	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $50.82 / $56.12	Facility		$31.46	$50.82	$56.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $84.18	Professional		$22.98	$22.98	$84.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $86.95 / $125.40	Professional		$42.18	$86.95	$125.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $278.80 / $278.80 / $278.80	Facility		$278.80	$278.80	$278.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $59.29 / $68.16	Professional		$52.94	$59.29	$68.16