Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $67.16 / $74.64	Professional		$67.16	$67.16	$74.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $67.41 / $79.01	Professional		$60.66	$67.41	$79.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $157.26 / $224.79	Facility		$74.02	$157.26	$224.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $37.38 / $82.50	Professional		$32.89	$37.38	$82.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $37.07 / $79.01	Facility		$19.32	$37.07	$79.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $37.07 / $79.01	Facility		$19.32	$37.07	$79.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $74.68 / $105.74	Professional		$66.09	$74.68	$105.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $55.00 / $237.87	Professional		$15.00	$55.00	$237.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $37.07 / $79.01	Facility		$19.32	$37.07	$79.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $41.18 / $57.20	Professional		$26.58	$41.18	$57.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $296.29 / $296.29 / $296.29	Facility		$296.29	$296.29	$296.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $42.23	Professional		$42.23	$42.23	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $74.68 / $108.39	Professional		$66.09	$74.68	$108.39