Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $22.83 / $22.83	Facility		$22.83	$22.83	$22.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $34.33 / $36.83	Professional		$22.83	$34.33	$36.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $55.82 / $237.54	Professional		$30.78	$55.82	$237.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $127.42 / $195.46	Facility		$109.04	$127.42	$195.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $66.40 / $75.45	Professional		$46.13	$66.40	$75.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $37.72 / $83.70	Facility		$22.83	$37.72	$83.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $77.86 / $7,700.00	Facility		$26.71	$77.86	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $55.78 / $272.48	Professional		$32.54	$55.78	$272.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $97.33	Professional		$50.00	$58.40	$97.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $38.90 / $87.59	Facility		$22.83	$38.90	$87.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $86.77 / $121.00	Professional		$47.28	$86.77	$121.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $95.12 / $166.51	Facility		$71.17	$95.12	$166.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $156.11 / $272.48	Professional		$156.11	$156.11	$272.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.73 / $283.01 / $283.01	Professional		$180.73	$283.01	$283.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $52.45 / $129.85	Professional		$31.41	$52.45	$129.85