Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Facility		$17.87	$17.87	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $27.53 / $34.36	Professional		$17.87	$27.53	$34.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $45.92 / $108.13	Professional		$27.29	$45.92	$108.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $89.51 / $137.31	Facility		$76.59	$89.51	$137.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $69.20 / $78.65	Professional		$32.25	$69.20	$78.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $27.83 / $58.57	Facility		$17.87	$27.83	$58.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $31.24 / $62.63	Facility		$17.87	$31.24	$62.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $52.12 / $225.06	Professional		$27.36	$52.12	$225.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.40 / $346.85	Professional		$30.00	$58.40	$346.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $27.76 / $58.57	Facility		$17.87	$27.76	$58.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $77.90 / $111.10	Professional		$51.21	$77.90	$111.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $85.00 / $152.90	Facility		$37.61	$85.00	$152.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $122.06 / $225.06	Professional		$114.93	$122.06	$225.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $69.05 / $69.05	Professional		$69.05	$69.05	$69.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $173.53 / $173.53	Professional		$93.91	$173.53	$173.53
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.41	Facility		$19.05	$19.05	$19.41
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $46.91 / $100.62	Professional		$26.03	$46.91	$100.62