Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $81.84 / $121.37	Professional		$65.45	$81.84	$121.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $47.05 / $63.94	Professional		$5.00	$47.05	$63.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.05 / $137.94 / $211.61	Facility		$118.05	$137.94	$211.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $52.07 / $62.39	Professional		$49.13	$52.07	$62.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $82.00 / $121.37	Facility		$46.10	$82.00	$121.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $36.34	Professional		$36.34	$36.34	$36.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $78.77 / $121.37	Facility		$46.10	$78.77	$121.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $77.59 / $168.54	Professional		$46.24	$77.59	$168.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $82.00 / $121.37	Facility		$46.10	$82.00	$121.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $36.34	Professional		$36.34	$36.34	$36.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $438.18 / $438.18	Professional		$78.84	$438.18	$438.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $88.54 / $169.53	Professional		$46.89	$88.54	$169.53