Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $50.78 / $113.24	Facility		$50.78	$50.78	$113.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $63.47	Professional		$50.78	$50.78	$63.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $49.97 / $99.20	Professional		$28.69	$49.97	$99.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $117.05 / $167.31	Facility		$53.95	$117.05	$167.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $51.66 / $61.41	Professional		$50.60	$51.66	$61.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $41.21 / $60.59	Facility		$28.15	$41.21	$60.59
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 $28.15 / $50.78 / $188.49	Facility		$28.15	$50.78	$188.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $68.76	Professional		$52.89	$52.89	$68.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $55.00 / $370.41	Professional		$41.67	$55.00	$370.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $41.21 / $60.59	Facility		$28.15	$41.21	$60.59
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 $45.90 / $65.56 / $91.95	Professional		$45.90	$65.56	$91.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $937.78 / $937.78 / $937.78	Facility		$937.78	$937.78	$937.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $68.76	Professional		$52.89	$52.89	$68.76