Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $156.11 / $348.13	Facility		$156.11	$156.11	$348.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $156.11 / $162.80	Professional		$138.46	$156.11	$162.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $281.08 / $571.24	Professional		$152.43	$281.08	$571.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $1,410.84 / $2,016.70	Facility		$570.54	$1,410.84	$2,016.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $283.55 / $740.16	Professional		$249.52	$283.55	$740.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $321.51 / $645.89	Facility		$138.46	$321.51	$645.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $321.51 / $645.89	Facility		$138.46	$321.51	$645.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $839.66	Professional		$645.89	$645.89	$839.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $532.38	Professional		$55.00	$65.00	$532.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $321.51 / $645.89	Facility		$138.46	$321.51	$645.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.46 / $346.31 / $485.73	Professional		$242.46	$346.31	$485.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $794.72	Facility		$570.54	$570.54	$794.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $884.35	Professional		$645.89	$645.89	$884.35