Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Facility		$36.74	$36.74	$36.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $34.88 / $39.02	Professional		$18.39	$34.88	$39.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $65.25 / $175.71	Professional		$36.38	$65.25	$175.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $114.78 / $130.43	Facility		$98.22	$114.78	$130.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $52.50 / $121.66	Professional		$31.07	$52.50	$121.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $37.43 / $80.56	Facility		$34.50	$37.43	$80.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $37.43 / $128.00	Facility		$34.50	$37.43	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $55.37 / $149.41	Professional		$35.78	$55.37	$149.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $108.90	Professional		$50.00	$60.00	$108.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $36.74 / $80.56	Facility		$34.50	$36.74	$80.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $89.13 / $122.24	Professional		$41.81	$89.13	$122.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $100.00 / $200.00	Facility		$71.01	$100.00	$200.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $193.50 / $245.19	Professional		$31.07	$193.50	$245.19
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $56.12 / $127.20	Professional		$34.97	$56.12	$127.20