Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $28.59 / $28.59	Facility		$28.59	$28.59	$28.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $20.55 / $28.59	Professional		$14.68	$20.55	$28.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $103.91	Professional		$10.80	$10.80	$103.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $39.10 / $80.69	Professional		$13.62	$39.10	$80.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $21.23 / $37.14	Facility		$14.50	$21.23	$37.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $21.71 / $41.25	Facility		$14.68	$21.71	$41.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $15.20 / $162.76	Professional		$7.66	$15.20	$162.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $65.00 / $85.00	Professional		$20.63	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $21.24 / $38.99	Facility		$14.50	$21.24	$38.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $52.96 / $98.75	Professional		$33.60	$52.96	$98.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $118.24 / $118.24	Facility		$27.59	$118.24	$118.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $126.70 / $162.76	Professional		$13.94	$126.70	$162.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $71.89 / $71.89	Professional		$71.89	$71.89	$71.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $71.89 / $71.89	Professional		$71.89	$71.89	$71.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.67 / $35.47	Professional		$7.76	$14.67	$35.47