Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.75 / $266.75 / $288.08	Professional		$241.75	$266.75	$288.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $223.29	Professional		$163.00	$163.00	$223.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $252.00	Facility		$140.00	$140.00	$252.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $210.00 / $285.00	Facility		$140.00	$210.00	$285.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $199.09 / $292.81	Professional		$152.77	$199.09	$292.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $257.17	Professional		$50.00	$65.00	$257.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $252.00	Facility		$140.00	$140.00	$252.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $237.60 / $285.00	Facility		$70.00	$237.60	$285.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $223.29 / $223.29	Professional		$163.00	$223.29	$223.29
United Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $184.87 / $291.29	Professional		$127.98	$184.87	$291.29