Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $38.79 / $200.00	Facility		$25.28	$38.79	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.36 / $38.79	Professional		$18.01	$24.36	$38.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $33.49 / $104.10	Professional		$14.61	$33.49	$104.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $78.55 / $89.26	Professional		$26.72	$78.55	$89.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $24.36 / $108.16	Facility		$16.75	$24.36	$108.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $24.36 / $108.16	Facility		$17.23	$24.36	$108.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $61.63 / $653.00	Professional		$17.39	$61.63	$653.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $52.64 / $71.18	Professional		$19.34	$52.64	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $25.28 / $108.16	Facility		$16.75	$25.28	$108.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $55.51 / $69.68	Professional		$37.04	$55.51	$69.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.62 / $328.62 / $328.62	Facility		$328.62	$328.62	$328.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $285.88 / $653.00	Professional		$29.37	$285.88	$653.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $51.71 / $51.71	Professional		$51.71	$51.71	$51.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $107.83 / $107.83	Professional		$48.74	$107.83	$107.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $44.93 / $141.19	Professional		$17.23	$44.93	$141.19