Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.63 / $124.06 / $124.06	Facility		$55.63	$124.06	$124.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $55.63 / $234.60	Professional		$46.72	$55.63	$234.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $86.02 / $230.00	Professional		$54.32	$86.02	$230.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $117.80 / $204.35	Facility		$57.66	$117.80	$204.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $75.00 / $111.95	Professional		$57.66	$75.00	$111.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $59.09 / $276.00	Facility		$49.34	$59.09	$276.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $56.01 / $276.00	Facility		$48.61	$56.01	$276.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $307.25 / $1,311.00	Professional		$276.00	$307.25	$1,311.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $189.70	Professional		$50.00	$70.00	$189.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $59.14 / $276.00	Facility		$49.34	$59.14	$276.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.21 / $173.09	Professional		$86.40	$126.21	$173.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $1,219.00	Facility		$57.66	$57.66	$1,219.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $274.00 / $1,311.00	Professional		$57.66	$274.00	$1,311.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $289.80 / $368.70	Professional		$276.00	$289.80	$368.70