Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $62.28 / $62.28	Facility		$18.17	$62.28	$62.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.02 / $21.42	Professional		$13.49	$17.02	$21.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $20.93 / $54.72	Professional		$14.32	$20.93	$54.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $37.50 / $55.92	Professional		$16.66	$37.50	$55.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $18.17 / $33.39	Facility		$15.47	$18.17	$33.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $18.17 / $34.06	Facility		$15.47	$18.17	$34.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $24.73 / $124.43	Professional		$15.52	$24.73	$124.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $58.40 / $70.00	Professional		$19.79	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $18.17 / $33.39	Facility		$15.44	$18.17	$33.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $38.57 / $55.00	Professional		$28.06	$38.57	$55.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $33.70 / $105.00	Facility		$19.16	$33.70	$105.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $74.05 / $124.43	Professional		$18.70	$74.05	$124.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $29.33 / $58.86	Professional		$20.61	$29.33	$58.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $23.52 / $51.84	Professional		$15.18	$23.52	$51.84