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 $18.73 / $69.55 / $110.13	Professional		$18.73	$69.55	$110.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $29.62 / $50.40	Facility		$19.67	$29.62	$50.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $29.62 / $58.32	Facility		$19.84	$29.62	$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 $50.00 / $65.00 / $112.64	Professional		$50.00	$65.00	$112.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $29.62 / $52.71	Facility		$19.67	$29.62	$52.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $71.88 / $109.71	Professional		$45.60	$71.88	$109.71
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 $19.23 / $172.95 / $221.32	Professional		$19.23	$172.95	$221.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $33.99 / $33.99	Professional		$33.99	$33.99	$33.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $33.99 / $115.40	Professional		$33.99	$33.99	$115.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $20.75 / $50.50	Professional		$10.82	$20.75	$50.50