Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Facility		$18.51	$18.51	$18.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $28.49 / $192.00	Professional		$18.51	$28.49	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $50.59 / $102.23	Professional		$29.74	$50.59	$102.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $106.50	Facility		$80.20	$93.72	$106.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $42.19 / $67.73	Professional		$33.75	$42.19	$67.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $24.15 / $35.58	Facility		$18.51	$24.15	$35.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $24.15 / $62.46	Facility		$17.52	$24.15	$62.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $39.53 / $89.30	Professional		$28.41	$39.53	$89.30
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 $16.44 / $24.15 / $34.09	Facility		$16.44	$24.15	$34.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $67.12 / $95.20	Professional		$32.56	$67.12	$95.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $85.00 / $133.19	Facility		$58.63	$85.00	$133.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $126.59 / $188.42	Professional		$126.59	$126.59	$188.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Professional		$27.11	$27.11	$27.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $97.50 / $97.50	Professional		$42.66	$97.50	$97.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $40.15 / $66.69	Professional		$28.41	$40.15	$66.69