Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $97.14 / $216.62	Facility		$97.14	$97.14	$216.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $121.43	Professional		$97.14	$97.14	$121.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $48.29 / $101.19	Professional		$14.60	$48.29	$101.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $39.65 / $56.20	Facility		$21.67	$39.65	$56.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $26.15 / $29.71	Professional		$16.50	$26.15	$29.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $30.66 / $121.43	Facility		$14.24	$30.66	$121.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $30.66 / $121.43	Facility		$14.24	$30.66	$121.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $131.55	Professional		$101.19	$101.19	$131.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $533.32	Professional		$55.00	$65.00	$533.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $30.66 / $121.43	Facility		$14.24	$30.66	$121.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $32.79 / $47.30	Professional		$15.47	$32.79	$47.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $734.60 / $734.60 / $734.60	Facility		$734.60	$734.60	$734.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $138.55	Professional		$101.19	$101.19	$138.55