Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $39.02 / $39.02	Facility		$39.02	$39.02	$39.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $28.04 / $39.02	Professional		$19.86	$28.04	$39.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $141.32	Professional		$14.83	$14.83	$141.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $52.87 / $110.13	Professional		$18.59	$52.87	$110.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $27.95 / $50.40	Facility		$10.78	$27.95	$50.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $28.35 / $58.32	Facility		$11.28	$28.35	$58.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $20.75 / $221.32	Professional		$10.16	$20.75	$221.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $65.00 / $112.64	Professional		$11.32	$65.00	$112.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $28.09 / $52.71	Facility		$10.78	$28.09	$52.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $71.88 / $111.57	Professional		$45.60	$71.88	$111.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $150.53 / $150.53	Facility		$37.65	$150.53	$150.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $172.95 / $221.32	Professional		$18.59	$172.95	$221.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $23.90	Professional		$23.90	$23.90	$23.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $100.79	Professional		$23.90	$23.90	$100.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $20.75 / $50.50	Professional		$11.45	$20.75	$50.50