Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.84 / $203.52 / $203.52	Professional		$191.84	$203.52	$203.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $270.92	Professional		$192.01	$192.01	$270.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $311.39	Facility		$173.00	$173.00	$311.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.19 / $173.00 / $264.69	Facility		$161.19	$173.00	$264.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $311.39	Facility		$173.00	$173.00	$311.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $155.00 / $263.02	Facility		$155.00	$155.00	$263.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $263.02 / $263.02	Professional		$192.01	$263.02	$263.02
United Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21