Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $122.49 / $122.49	Facility		$54.93	$122.49	$122.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $54.93 / $62.13	Professional		$46.14	$54.93	$62.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $79.38 / $201.02	Professional		$53.64	$79.38	$201.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.19 / $158.15 / $226.06	Facility		$87.19	$158.15	$226.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $97.27 / $110.54	Professional		$66.38	$97.27	$110.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $57.29 / $76.90	Facility		$48.72	$57.29	$76.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $96.86	Professional		$38.47	$38.47	$96.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $55.31 / $76.90	Facility		$48.00	$55.31	$76.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $81.36 / $342.83	Professional		$73.09	$81.36	$342.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $213.41	Professional		$50.00	$70.00	$213.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $58.20 / $78.93	Facility		$48.72	$58.20	$78.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $96.86	Professional		$38.47	$38.47	$96.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $124.63 / $170.92	Professional		$85.32	$124.63	$170.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $381.00 / $381.00	Facility		$85.00	$381.00	$381.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $270.55 / $342.83	Professional		$226.49	$270.55	$342.83
United Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $73.09 / $73.09	Facility		$73.09	$73.09	$73.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $86.98	Professional		$73.09	$73.09	$86.98