Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Facility		$20.71	$20.71	$20.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.07 / $34.14	Professional		$15.60	$30.07	$34.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $36.93 / $107.41	Professional		$26.67	$36.93	$107.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $64.23 / $98.54	Facility		$54.97	$64.23	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $29.06 / $52.04	Professional		$20.45	$29.06	$52.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $22.30 / $38.79	Facility		$17.22	$22.30	$38.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $22.47 / $39.61	Facility		$15.60	$22.47	$39.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $55.80 / $199.18	Professional		$24.72	$55.80	$199.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $60.00 / $87.00	Professional		$27.44	$60.00	$87.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $22.30 / $38.79	Facility		$17.22	$22.30	$38.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $60.00 / $95.20	Professional		$35.97	$60.00	$95.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $78.68 / $78.68	Facility		$78.68	$78.68	$78.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $141.62 / $199.18	Professional		$141.62	$141.62	$199.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $22.83	Professional		$21.50	$21.50	$22.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $64.47 / $68.48	Professional		$22.83	$64.47	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $44.95 / $77.27	Professional		$23.80	$44.95	$77.27