Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $24.82 / $93.35	Facility		$23.49	$24.82	$93.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $27.60 / $45.00	Professional		$22.40	$27.60	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $31.02 / $76.55	Professional		$19.78	$31.02	$76.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $37.93 / $86.95	Professional		$24.58	$37.93	$86.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $25.84 / $46.35	Facility		$22.55	$25.84	$46.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $26.08 / $46.35	Facility		$22.12	$26.08	$46.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $94.65 / $158.99	Professional		$32.86	$94.65	$158.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $93.48	Professional		$50.00	$70.00	$93.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $26.08 / $46.35	Facility		$22.55	$26.08	$46.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $45.50 / $75.64	Professional		$26.98	$45.50	$75.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $55.90 / $250.00	Facility		$55.90	$55.90	$250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $128.90 / $158.99	Professional		$28.74	$128.90	$158.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $36.11	Professional		$34.18	$34.18	$36.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $63.61 / $68.12	Professional		$34.18	$63.61	$68.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $53.82 / $99.53	Professional		$28.17	$53.82	$99.53