Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $78.68 / $131.99	Professional		$76.83	$78.68	$131.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $80.23 / $116.11	Professional		$77.14	$80.23	$116.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $201.93 / $288.64	Facility		$111.32	$201.93	$288.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $89.84 / $107.63	Professional		$84.75	$89.84	$107.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $78.68 / $81.77	Facility		$74.22	$78.68	$81.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $122.66 / $122.66	Professional		$122.66	$122.66	$122.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $81.77 / $81.77	Facility		$74.22	$81.77	$81.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $120.34	Professional		$92.57	$92.57	$120.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $81.77 / $81.77	Facility		$74.22	$81.77	$81.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $122.66 / $122.66	Professional		$122.66	$122.66	$122.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $134.22 / $134.22	Facility		$85.00	$134.22	$134.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,758.86 / $1,758.86 / $1,758.86	Professional		$1,758.86	$1,758.86	$1,758.86
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $111.08	Professional		$92.57	$92.57	$111.08