Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $63.60 / $63.60	Facility		$18.55	$63.60	$63.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $17.38 / $22.33	Professional		$13.79	$17.38	$22.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $21.37 / $55.85	Professional		$14.68	$21.37	$55.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $38.60 / $57.06	Professional		$17.00	$38.60	$57.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $18.57 / $31.45	Facility		$15.83	$18.57	$31.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $18.61 / $34.76	Facility		$15.83	$18.61	$34.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $25.59 / $135.25	Professional		$16.23	$25.59	$135.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $58.40 / $70.00	Professional		$20.27	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $18.55 / $31.45	Facility		$15.77	$18.55	$31.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $39.34 / $56.10	Professional		$28.75	$39.34	$56.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $34.42 / $105.00	Facility		$19.55	$34.42	$105.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $77.55 / $135.25	Professional		$19.09	$77.55	$135.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.04 / $60.09	Professional		$21.05	$30.04	$60.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $25.35 / $56.17	Professional		$15.96	$25.35	$56.17