Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.74 / $39.49	Professional		$27.05	$36.74	$39.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $66.39 / $230.01	Professional		$41.21	$66.39	$230.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.15 / $136.88 / $210.00	Facility		$117.15	$136.88	$210.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $60.94 / $88.40	Professional		$35.19	$60.94	$88.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $38.65 / $70.28	Facility		$30.39	$38.65	$70.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $41.55 / $82.85	Facility		$30.39	$41.55	$82.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $72.34 / $335.71	Professional		$40.32	$72.34	$335.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $151.77	Professional		$50.00	$58.40	$151.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $39.49 / $71.34	Facility		$30.39	$39.49	$71.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $28.06 / $28.06	Professional		$28.06	$28.06	$28.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $98.73 / $138.47	Professional		$68.48	$98.73	$138.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $226.54 / $226.54	Facility		$64.81	$226.54	$226.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $219.20 / $335.71	Professional		$35.19	$219.20	$335.71
United Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $68.08 / $146.56	Professional		$42.35	$68.08	$146.56