Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $45.59 / $45.59	Facility		$45.59	$45.59	$45.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.77 / $45.59	Professional		$23.32	$32.77	$45.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $164.87	Professional		$17.28	$17.28	$164.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $88.45 / $135.69	Facility		$75.69	$88.45	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $61.68 / $128.65	Professional		$20.88	$61.68	$128.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $31.36 / $56.46	Facility		$15.17	$31.36	$56.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $33.06 / $63.83	Facility		$16.18	$33.06	$63.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $24.25 / $258.24	Professional		$11.13	$24.25	$258.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $130.43	Professional		$50.00	$65.00	$130.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $32.81 / $59.02	Facility		$15.73	$32.81	$59.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $70.20 / $101.07	Professional		$40.85	$70.20	$101.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $175.88 / $175.88	Facility		$43.99	$175.88	$175.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $202.05 / $258.24	Professional		$21.72	$202.05	$258.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $438.17 / $565.01	Facility		$3.15	$438.17	$565.01
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $23.18 / $56.57	Professional		$12.11	$23.18	$56.57