Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $167.77 / $470.82	Facility		$41.72	$167.77	$470.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $35.06 / $41.72	Professional		$25.64	$35.06	$41.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $151.02	Professional		$15.84	$15.84	$151.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $124.38	Facility		$69.39	$81.08	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $39.75 / $117.78	Professional		$31.80	$39.75	$117.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $16.97 / $41.72	Facility		$16.97	$16.97	$41.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $27.34 / $258.37	Facility		$16.97	$27.34	$258.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $26.20 / $100.51	Professional		$12.11	$26.20	$100.51
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 $16.97 / $16.97 / $41.72	Facility		$16.97	$16.97	$41.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $63.89 / $90.47	Professional		$35.38	$63.89	$90.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $170.00	Facility		$68.80	$68.80	$170.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $12.34 / $12.41	Professional		$7.32	$12.34	$12.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $53.24 / $123.51	Professional		$45.25	$53.24	$123.51
United Facility/Professional Facility Modifier Low / Median / High Price $115.78 / $115.78 / $314.06	Facility		$115.78	$115.78	$314.06
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $22.19 / $100.51	Professional		$14.57	$22.19	$100.51