Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $290.39	Facility		$35.15	$35.15	$290.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $29.54 / $35.15	Professional		$18.85	$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 $15.14 / $15.14 / $35.15	Facility		$15.14	$15.14	$35.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.61 / $135.63	Facility		$15.14	$21.61	$135.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $22.00 / $84.97	Professional		$11.00	$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 $15.14 / $15.14 / $35.15	Facility		$15.14	$15.14	$35.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $52.45 / $74.80	Professional		$29.70	$52.45	$74.80
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 $10.45 / $11.07 / $12.28	Professional		$10.45	$11.07	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $104.00 / $104.00	Professional		$104.00	$104.00	$104.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.70 / $57.67	Professional		$12.21	$18.70	$57.67