Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $25.27 / $35.15	Professional		$17.85	$25.27	$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 $16.75 / $47.91 / $99.25	Professional		$16.75	$47.91	$99.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $25.11 / $47.18	Facility		$10.78	$25.11	$47.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $25.54 / $52.56	Facility		$11.28	$25.54	$52.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $18.70 / $199.62	Professional		$10.09	$18.70	$199.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $100.77	Professional		$50.00	$65.00	$100.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $25.26 / $47.77	Facility		$10.78	$25.26	$47.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $64.31 / $105.57	Professional		$40.79	$64.31	$105.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $135.63 / $135.63	Facility		$33.92	$135.63	$135.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $155.85 / $199.62	Professional		$16.75	$155.85	$199.62
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 $10.28 / $18.42 / $45.52	Professional		$10.28	$18.42	$45.52