Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $19.69 / $76.55	Facility		$19.69	$19.69	$76.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $62.00 / $92.86	Professional		$17.97	$62.00	$92.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $78.51 / $221.67	Professional		$26.25	$78.51	$221.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.49 / $348.49 / $422.93	Facility		$348.49	$348.49	$422.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $60.52 / $187.11	Professional		$18.26	$60.52	$187.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $61.22 / $117.26	Facility		$19.69	$61.22	$117.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $59.62 / $117.26	Facility		$19.62	$59.62	$117.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $101.94 / $527.54	Professional		$58.35	$101.94	$527.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $61.91 / $135.59	Professional		$39.42	$61.91	$135.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $59.69 / $121.04	Facility		$19.69	$59.69	$121.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $87.41 / $244.60	Professional		$34.77	$87.41	$244.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $301.08 / $527.54	Professional		$39.74	$301.08	$527.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $100.14	Professional		$25.68	$25.68	$100.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $95.57 / $289.04	Professional		$49.68	$95.57	$289.04
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $100.15 / $195.62	Professional		$66.59	$100.15	$195.62