Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Facility		$21.07	$21.07	$21.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $31.89 / $60.00	Professional		$21.07	$31.89	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $63.40 / $196.72	Professional		$30.80	$63.40	$196.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $75.39	Facility		$56.77	$66.34	$75.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $48.45	Professional		$24.00	$30.00	$48.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $21.07 / $31.50	Facility		$17.91	$21.07	$31.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $21.07 / $44.70	Facility		$17.27	$21.07	$44.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $28.78 / $63.87	Professional		$20.34	$28.78	$63.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $21.07 / $31.12	Facility		$17.27	$21.07	$31.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $79.31 / $112.51	Professional		$38.47	$79.31	$112.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $85.00 / $157.44	Facility		$80.45	$85.00	$157.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $144.18 / $205.00	Professional		$144.18	$144.18	$205.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $76.08 / $76.08	Professional		$50.85	$76.08	$76.08
United Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $30.57 / $47.83	Professional		$20.34	$30.57	$47.83