Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $66.63 / $112.73	Facility		$30.57	$66.63	$112.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $32.28 / $52.11	Professional		$17.75	$32.28	$52.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $73.47 / $76.20	Facility		$63.21	$73.47	$76.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $35.97	Professional		$30.75	$30.75	$35.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $83.01 / $118.65	Facility		$33.71	$83.01	$118.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $75.14 / $85.39	Professional		$34.84	$75.14	$85.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $34.17 / $43.62	Facility		$30.57	$34.17	$43.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $34.17 / $43.62	Facility		$30.57	$34.17	$43.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $53.96	Professional		$34.17	$35.97	$53.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $117.18	Professional		$85.00	$85.00	$117.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $34.17 / $43.62	Facility		$30.57	$34.17	$43.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.00 / $60.32	Professional		$30.00	$32.00	$60.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $47.97 / $47.97	Professional		$38.78	$47.97	$47.97
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $54.67	Professional		$34.17	$35.97	$54.67