Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $30.71 / $88.22	Facility		$19.11	$30.71	$88.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $23.57 / $65.92	Professional		$16.27	$23.57	$65.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $52.78 / $127.83	Professional		$22.63	$52.78	$127.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $122.29	Facility		$64.88	$75.81	$122.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $52.81 / $96.65	Professional		$29.23	$52.81	$96.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $29.82 / $49.06	Facility		$17.47	$29.82	$49.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $28.87 / $49.06	Facility		$16.30	$28.87	$49.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $75.17 / $211.00	Professional		$27.26	$75.17	$211.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $65.00 / $85.00	Professional		$47.90	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $29.82 / $49.06	Facility		$17.47	$29.82	$49.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $52.80 / $80.63	Professional		$33.59	$52.80	$80.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $66.59 / $66.59	Facility		$66.59	$66.59	$66.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $103.32 / $285.00	Professional		$28.93	$103.32	$285.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $78.78 / $124.73	Professional		$78.78	$78.78	$124.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $104.13 / $170.33	Professional		$81.23	$104.13	$170.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $52.83 / $101.10	Professional		$24.36	$52.83	$101.10