Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $31.71	Facility		$16.57	$16.57	$31.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $28.43 / $41.33	Professional		$15.44	$28.43	$41.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $46.30 / $97.60	Professional		$22.09	$46.30	$97.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $146.94 / $178.34	Facility		$146.94	$146.94	$178.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $40.43 / $79.25	Professional		$15.87	$40.43	$79.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $31.71 / $52.30	Facility		$16.57	$31.71	$52.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $29.37 / $52.16	Facility		$16.57	$29.37	$52.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $46.85 / $133.94	Professional		$32.29	$46.85	$133.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $58.93 / $76.98	Professional		$19.66	$58.93	$76.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $31.71 / $52.30	Facility		$16.57	$31.71	$52.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $57.32 / $104.69	Professional		$29.75	$57.32	$104.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $125.15 / $217.92	Professional		$29.74	$125.15	$217.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $46.06 / $103.16	Professional		$41.95	$46.06	$103.16
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $42.58 / $84.78	Professional		$32.15	$42.58	$84.78