Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $34.60 / $120.74	Facility		$25.94	$34.60	$120.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $29.64 / $41.10	Professional		$22.41	$29.64	$41.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $34.93 / $99.57	Professional		$23.43	$34.93	$99.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $153.46	Facility		$85.61	$100.04	$153.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $73.38 / $119.26	Professional		$39.08	$73.38	$119.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.95 / $44.21	Facility		$22.91	$30.95	$44.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $30.90 / $44.21	Facility		$22.55	$30.90	$44.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $117.70 / $200.17	Professional		$40.92	$117.70	$200.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $33.12 / $74.39	Professional		$20.70	$33.12	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.95 / $44.21	Facility		$22.91	$30.95	$44.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $48.85 / $80.63	Professional		$30.52	$48.85	$80.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $56.78 / $56.78	Facility		$56.78	$56.78	$56.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $150.27 / $200.17	Professional		$102.20	$150.27	$200.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $121.98 / $164.73	Professional		$39.21	$121.98	$164.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $66.80 / $122.13	Professional		$37.39	$66.80	$122.13