Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $167.25	Facility		$75.00	$75.00	$167.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $93.75	Professional		$75.00	$75.00	$93.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $118.28 / $256.74	Professional		$74.69	$118.28	$256.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $196.57 / $280.98	Facility		$79.50	$196.57	$280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $122.27 / $138.94	Professional		$82.50	$122.27	$138.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $81.72 / $156.82	Facility		$72.86	$81.72	$156.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $81.72 / $156.82	Facility		$72.86	$81.72	$156.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $117.90	Professional		$90.69	$90.69	$117.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $260.85	Professional		$50.00	$65.00	$260.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $81.72 / $156.82	Facility		$72.86	$81.72	$156.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $169.69 / $238.00	Professional		$118.80	$169.69	$238.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.38 / $389.38 / $389.38	Facility		$389.38	$389.38	$389.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $126.97	Professional		$90.69	$90.69	$126.97