Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $187.45 / $187.45	Facility		$84.06	$187.45	$187.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $86.16 / $105.07	Professional		$84.06	$86.16	$105.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $87.56 / $87.56	Professional		$76.23	$87.56	$87.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $99.01 / $205.82	Facility		$77.64	$99.01	$205.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $89.31 / $131.80	Professional		$77.64	$89.31	$131.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $87.21 / $105.07	Facility		$84.06	$87.21	$105.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $89.31 / $105.07	Facility		$84.06	$89.31	$105.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $97.47 / $399.27	Professional		$87.56	$97.47	$399.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $284.58	Professional		$50.00	$65.00	$284.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $87.21 / $105.07	Facility		$84.06	$87.21	$105.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $445.80	Facility		$89.31	$89.31	$445.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $111.37 / $399.27	Professional		$89.31	$111.37	$399.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $91.94 / $105.07	Professional		$87.56	$91.94	$105.07