Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Facility		$160.00	$160.00	$160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $99.42 / $160.00	Professional		$78.88	$99.42	$160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $169.14 / $408.28	Professional		$88.15	$169.14	$408.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.62 / $302.22 / $463.61	Facility		$258.62	$302.22	$463.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $134.53 / $196.14	Professional		$78.08	$134.53	$196.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $111.01 / $171.78	Facility		$84.02	$111.01	$171.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $61.99 / $61.99	Professional		$61.99	$61.99	$61.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $111.01 / $183.84	Facility		$84.17	$111.01	$183.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $194.88 / $745.59	Professional		$92.80	$194.88	$745.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $336.72	Professional		$50.00	$65.00	$336.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $111.01 / $189.01	Facility		$84.02	$111.01	$189.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $61.99 / $61.99	Professional		$61.99	$61.99	$61.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $224.02 / $307.23	Professional		$153.36	$224.02	$307.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $502.69 / $502.69	Facility		$105.88	$502.69	$502.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $486.35 / $745.59	Professional		$78.08	$486.35	$745.59
United Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $184.48 / $364.76	Professional		$93.86	$184.48	$364.76