Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $319.80 / $328.32	Facility		$35.15	$319.80	$328.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $29.54 / $35.15	Professional		$24.19	$29.54	$35.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $127.47	Professional		$13.39	$13.39	$127.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $68.45 / $105.00	Facility		$58.57	$68.45	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $62.72 / $99.25	Professional		$26.85	$62.72	$99.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $35.15	Facility		$3.33	$3.33	$35.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $21.27 / $135.63	Facility		$3.33	$21.27	$135.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $22.00 / $84.97	Professional		$9.77	$22.00	$84.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,000.00	Professional		$55.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $35.15	Facility		$3.33	$3.33	$35.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $53.64 / $197.64	Professional		$29.70	$53.64	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $57.98 / $135.63	Facility		$57.98	$57.98	$135.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $10.45 / $12.28	Professional		$9.80	$10.45	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $25.85 / $25.85	Professional		$25.85	$25.85	$25.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $25.85 / $25.85	Professional		$25.85	$25.85	$25.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.70 / $84.97	Professional		$12.21	$18.70	$84.97