Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $31.07 / $31.07	Facility		$31.07	$31.07	$31.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $31.07 / $44.00	Professional		$23.46	$31.07	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $54.99 / $187.98	Professional		$28.14	$54.99	$187.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $107.41 / $122.06	Facility		$91.91	$107.41	$122.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $48.28 / $60.78	Professional		$38.63	$48.28	$60.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $31.07 / $50.82	Facility		$26.63	$31.07	$50.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $31.36 / $67.42	Facility		$26.66	$31.36	$67.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $36.90 / $104.64	Professional		$21.14	$36.90	$104.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $92.13	Professional		$50.00	$58.40	$92.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $31.07 / $50.82	Facility		$26.63	$31.07	$50.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $82.39 / $115.75	Professional		$39.59	$82.39	$115.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $85.00 / $161.97	Facility		$71.15	$85.00	$161.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $144.54 / $207.28	Professional		$50.07	$144.54	$207.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Professional		$55.83	$55.83	$55.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $105.34 / $105.34	Professional		$63.53	$105.34	$105.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $38.28 / $89.08	Professional		$23.15	$38.28	$89.08