Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $159.49	Facility		$71.52	$71.52	$159.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $89.40	Professional		$71.52	$71.52	$89.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $75.98	Professional		$74.50	$74.50	$75.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $89.40 / $89.40	Facility		$71.52	$89.40	$89.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $89.40 / $89.40	Facility		$71.52	$89.40	$89.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $96.85	Professional		$74.50	$74.50	$96.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $276.24	Professional		$85.00	$85.00	$276.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $89.40 / $89.40	Facility		$71.52	$89.40	$89.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $384.55	Facility		$75.98	$75.98	$384.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $104.30	Professional		$74.50	$74.50	$104.30