Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $20.87 / $20.87	Facility		$20.87	$20.87	$20.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.87 / $33.93	Professional		$19.50	$23.87	$33.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $41.42 / $165.24	Professional		$14.68	$41.42	$165.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $167.95	Facility		$108.13	$126.36	$167.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $63.95 / $72.68	Professional		$47.12	$63.95	$72.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $28.01 / $50.09	Facility		$15.06	$28.01	$50.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $30.82 / $78.72	Facility		$17.27	$30.82	$78.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $37.50 / $200.67	Professional		$5.61	$37.50	$200.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $28.01 / $48.00	Facility		$15.06	$28.01	$48.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $85.98 / $119.90	Professional		$40.33	$85.98	$119.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.33 / $165.02 / $165.02	Facility		$79.33	$165.02	$165.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $200.67 / $200.67	Professional		$142.79	$200.67	$200.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $99.47 / $99.47	Professional		$99.47	$99.47	$99.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $249.99 / $249.99	Professional		$138.90	$249.99	$249.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $33.78 / $73.45	Professional		$6.41	$33.78	$73.45