Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $30.06 / $53.64	Professional		$19.57	$30.06	$53.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $87.60 / $374.60	Professional		$30.11	$87.60	$374.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $49.83 / $56.63	Professional		$16.22	$49.83	$56.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $27.08 / $106.44	Facility		$15.03	$27.08	$106.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $29.10 / $106.44	Facility		$16.25	$29.10	$106.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $112.90 / $246.18	Professional		$71.28	$112.90	$246.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $65.00 / $70.00	Professional		$13.54	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $27.08 / $106.44	Facility		$15.03	$27.08	$106.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $99.01 / $144.43	Professional		$56.16	$99.01	$144.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $82.73 / $158.34	Facility		$73.26	$82.73	$158.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $164.84 / $246.18	Professional		$55.21	$164.84	$246.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $90.26 / $90.26	Professional		$90.26	$90.26	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $105.33 / $266.89	Professional		$59.12	$105.33	$266.89