Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $176.15 / $176.15	Facility		$78.98	$176.15	$176.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $81.78 / $98.74	Professional		$78.98	$81.78	$98.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $78.98 / $83.93	Professional		$75.53	$78.98	$83.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $195.68 / $279.70	Facility		$107.88	$195.68	$279.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $87.05 / $104.30	Professional		$82.13	$87.05	$104.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $81.95 / $98.74	Facility		$78.98	$81.95	$98.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $81.95 / $98.74	Facility		$78.98	$81.95	$98.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $108.61 / $128.36	Professional		$98.74	$108.61	$128.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $418.90	Professional		$50.00	$70.00	$418.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $81.95 / $89.07	Facility		$78.98	$81.95	$89.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $381.63 / $381.63 / $381.63	Professional		$381.63	$381.63	$381.63
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $101.71 / $117.50	Professional		$98.74	$101.71	$117.50