Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $30.44 / $30.44	Facility		$30.44	$30.44	$30.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $31.66	Professional		$30.44	$30.44	$31.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $34.65 / $76.31	Professional		$29.84	$34.65	$76.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $69.69 / $99.62	Facility		$33.42	$69.69	$99.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $85.40 / $97.05	Professional		$30.13	$85.40	$97.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $35.81 / $77.48	Facility		$25.75	$35.81	$77.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $35.81 / $77.48	Facility		$25.75	$35.81	$77.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $34.74 / $60.26	Professional		$30.74	$34.74	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $65.00 / $180.23	Professional		$27.14	$65.00	$180.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $35.81 / $77.48	Facility		$25.75	$35.81	$77.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $108.50 / $150.69	Professional		$70.02	$108.50	$150.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $757.05 / $757.05 / $757.05	Facility		$757.05	$757.05	$757.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $34.08 / $75.98	Professional		$34.08	$34.08	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $34.74 / $53.03	Professional		$30.74	$34.74	$53.03