Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Facility		$35.96	$35.96	$35.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $36.40 / $38.20	Professional		$35.96	$36.40	$38.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $36.31 / $125.06	Professional		$18.54	$36.31	$125.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $110.03 / $155.94	Facility		$60.14	$110.03	$155.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $57.23 / $135.80	Professional		$44.94	$57.23	$135.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $37.29 / $53.58	Facility		$30.14	$37.29	$53.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $37.29 / $55.02	Facility		$30.14	$37.29	$55.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $106.97	Professional		$50.94	$50.94	$106.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $65.00 / $85.00	Professional		$35.42	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $37.29 / $53.58	Facility		$30.14	$37.29	$53.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $68.11 / $94.87	Professional		$51.60	$68.11	$94.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $85.00 / $152.21	Facility		$54.04	$85.00	$152.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $123.30 / $1,816.40	Professional		$44.94	$123.30	$1,816.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $69.75	Professional		$50.94	$50.94	$69.75