Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $50.95 / $59.40	Professional		$34.27	$50.95	$59.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $78.70 / $214.10	Professional		$58.91	$78.70	$214.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $194.81 / $298.83	Facility		$166.71	$194.81	$298.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $86.72 / $126.38	Professional		$50.31	$86.72	$126.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $55.27 / $100.48	Facility		$43.45	$55.27	$100.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $58.59 / $108.30	Facility		$43.45	$58.59	$108.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $103.42 / $480.58	Professional		$57.65	$103.42	$480.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $216.97	Professional		$50.00	$58.40	$216.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $56.46 / $102.26	Facility		$43.45	$56.46	$102.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $39.82 / $39.82	Professional		$39.82	$39.82	$39.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $141.15 / $197.97	Professional		$97.91	$141.15	$197.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $323.89 / $323.89	Facility		$68.23	$323.89	$323.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $313.39 / $480.58	Professional		$50.31	$313.39	$480.58
United Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $96.53 / $209.55	Professional		$59.24	$96.53	$209.55