Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $17.27 / $39.45	Professional		$11.70	$17.27	$39.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $105.29 / $333.31	Professional		$26.79	$105.29	$333.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $46.19	Facility		$29.74	$34.75	$46.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $17.16 / $19.50	Professional		$13.12	$17.16	$19.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $17.27 / $43.98	Facility		$10.90	$17.27	$43.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $17.76 / $80.73	Facility		$11.70	$17.76	$80.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $87.71 / $245.56	Professional		$39.31	$87.71	$245.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $132.31	Professional		$50.00	$58.40	$132.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $17.27 / $48.68	Facility		$11.70	$17.27	$48.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $49.66 / $76.50	Professional		$27.54	$49.66	$76.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $80.73 / $80.73	Facility		$44.48	$80.73	$80.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $184.70 / $245.56	Professional		$55.41	$184.70	$245.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $26.69 / $26.69	Professional		$26.69	$26.69	$26.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Professional		$67.06	$67.06	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $70.19 / $162.09	Professional		$35.03	$70.19	$162.09