Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $26.10 / $36.31	Professional		$18.42	$26.10	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $131.62	Professional		$13.82	$13.82	$131.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $43.65 / $102.50	Professional		$16.93	$43.65	$102.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $25.92 / $43.83	Facility		$14.16	$25.92	$43.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $26.38 / $50.83	Facility		$15.10	$26.38	$50.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $19.30 / $206.17	Professional		$8.64	$19.30	$206.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $104.33	Professional		$50.00	$65.00	$104.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $26.15 / $47.08	Facility		$14.16	$26.15	$47.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $56.00 / $101.63	Professional		$42.60	$56.00	$101.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $140.10 / $140.10	Facility		$35.04	$140.10	$140.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $160.94 / $206.17	Professional		$17.30	$160.94	$206.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Professional		$89.92	$89.92	$89.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Professional		$89.92	$89.92	$89.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $19.30 / $45.07	Professional		$9.19	$19.30	$45.07