Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $41.69 / $55.58	Facility		$24.86	$41.69	$55.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $26.88 / $70.43	Professional		$24.85	$26.88	$70.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $59.75 / $61.97	Facility		$51.41	$59.75	$61.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $29.25	Professional		$25.01	$25.01	$29.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $67.45 / $96.43	Facility		$27.44	$67.45	$96.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $61.12 / $69.45	Professional		$28.31	$61.12	$69.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $27.79 / $48.57	Facility		$24.86	$27.79	$48.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $27.79 / $48.57	Facility		$24.86	$27.79	$48.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $43.88	Professional		$27.79	$29.25	$43.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $97.57	Professional		$65.00	$85.00	$97.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $27.79 / $48.57	Facility		$24.86	$27.79	$48.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $58.84	Professional		$30.00	$30.00	$58.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.69 / $109.69 / $109.69	Facility		$109.69	$109.69	$109.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $39.02 / $39.02	Professional		$35.90	$39.02	$39.02
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $44.46	Professional		$27.79	$29.25	$44.46