Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $27.37 / $27.37	Facility		$27.37	$27.37	$27.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $44.14 / $54.99	Professional		$27.37	$44.14	$54.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $62.33 / $188.40	Professional		$35.35	$62.33	$188.40
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 / $37.04 / $49.94	Facility		$15.05	$37.04	$49.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $40.75 / $53.06	Facility		$15.26	$40.75	$53.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $38.25 / $280.19	Professional		$16.94	$38.25	$280.19
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 / $37.04 / $49.94	Facility		$15.05	$37.04	$49.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $93.08 / $127.65	Professional		$50.72	$93.08	$127.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $184.31 / $184.31	Facility		$184.31	$184.31	$184.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.76 / $280.19 / $280.19	Professional		$185.76	$280.19	$280.19
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 $16.91 / $33.79 / $71.25	Professional		$16.91	$33.79	$71.25