Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Facility		$28.97	$28.97	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $30.58 / $42.08	Professional		$28.96	$30.58	$42.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $69.59 / $72.19	Facility		$59.88	$69.59	$72.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $29.14 / $34.08	Professional		$24.76	$29.14	$34.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $78.54 / $112.27	Facility		$31.94	$78.54	$112.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $71.18 / $80.89	Professional		$32.96	$71.18	$80.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $32.36 / $41.04	Facility		$28.97	$32.36	$41.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $32.36 / $41.04	Facility		$28.97	$32.36	$41.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $51.12	Professional		$32.38	$34.08	$51.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $111.01	Professional		$65.00	$85.00	$111.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $32.36 / $41.04	Facility		$28.97	$32.36	$41.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.00 / $57.17	Professional		$30.00	$32.00	$57.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.80 / $127.80 / $127.80	Facility		$127.80	$127.80	$127.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $45.45 / $45.45	Professional		$28.49	$45.45	$45.45
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $51.12	Professional		$32.38	$34.08	$51.12