Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $120.14 / $267.91	Facility		$120.14	$120.14	$267.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $120.14 / $150.18	Professional		$120.14	$120.14	$150.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $105.67 / $213.55	Professional		$62.13	$105.67	$213.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $155.47 / $222.23	Facility		$63.43	$155.47	$222.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $101.71 / $115.58	Professional		$65.25	$101.71	$115.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $82.17 / $150.18	Facility		$60.61	$82.17	$150.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $37.94 / $37.94	Professional		$37.94	$37.94	$37.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $82.17 / $150.18	Facility		$60.61	$82.17	$150.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $162.69	Professional		$125.15	$125.15	$162.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $216.97	Professional		$65.00	$85.00	$216.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.61 / $82.17 / $150.18	Facility		$60.61	$82.17	$150.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $37.94 / $37.94	Professional		$37.94	$37.94	$37.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $141.15 / $197.97	Professional		$98.82	$141.15	$197.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $663.30 / $663.30 / $663.30	Facility		$663.30	$663.30	$663.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $171.36	Professional		$125.15	$125.15	$171.36