Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Facility		$20.21	$20.21	$20.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $32.60 / $55.04	Professional		$20.21	$32.60	$55.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $63.78 / $179.32	Professional		$34.61	$63.78	$179.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $33.34 / $37.89	Professional		$15.38	$33.34	$37.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $30.32 / $46.18	Facility		$15.05	$30.32	$46.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $31.25 / $49.34	Facility		$15.26	$31.25	$49.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $38.25 / $248.34	Professional		$16.94	$38.25	$248.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $58.40 / $70.00	Professional		$18.80	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $30.24 / $46.18	Facility		$15.05	$30.24	$46.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $56.79 / $95.15	Professional		$30.95	$56.79	$95.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $128.44 / $128.44	Facility		$128.44	$128.44	$128.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $248.34 / $248.34	Professional		$129.41	$248.34	$248.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $68.47 / $68.47	Professional		$19.98	$68.47	$68.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $33.72 / $61.75	Professional		$17.57	$33.72	$61.75