Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Facility		$29.50	$29.50	$29.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $45.44 / $84.61	Professional		$29.50	$45.44	$84.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $117.91 / $481.41	Professional		$43.42	$117.91	$481.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $99.63 / $113.21	Professional		$32.45	$99.63	$113.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $45.82 / $180.75	Facility		$21.81	$45.82	$180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $45.82 / $189.30	Facility		$29.50	$45.82	$189.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $184.20 / $364.55	Professional		$110.39	$184.20	$364.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $65.00 / $70.00	Professional		$27.07	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $45.82 / $180.75	Facility		$21.81	$45.82	$180.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $156.13 / $186.24	Professional		$88.56	$156.13	$186.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $639.36 / $942.75 / $942.75	Facility		$639.36	$942.75	$942.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $256.50 / $340.11	Professional		$103.16	$256.50	$340.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $71.81 / $71.81	Professional		$71.81	$71.81	$71.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $180.46 / $180.46	Professional		$180.46	$180.46	$180.46
United Facility/Professional Facility Modifier Low / Median / High Price $422.68 / $422.68 / $422.68	Facility		$422.68	$422.68	$422.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $156.00 / $433.90	Professional		$32.47	$156.00	$433.90