Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.26 / $36.40	Facility		$21.26	$21.26	$36.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $32.78 / $48.36	Professional		$20.07	$32.78	$48.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $56.12 / $111.65	Professional		$27.86	$56.12	$111.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.55 / $166.55 / $202.12	Facility		$166.55	$166.55	$202.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $46.73 / $90.50	Professional		$20.23	$46.73	$90.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $36.40 / $63.24	Facility		$21.26	$36.40	$63.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $36.40 / $62.19	Facility		$21.10	$36.40	$62.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $54.77 / $154.52	Professional		$37.35	$54.77	$154.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $58.93 / $77.04	Professional		$26.22	$58.93	$77.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $36.40 / $67.11	Facility		$21.26	$36.40	$67.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $69.65 / $119.79	Professional		$37.99	$69.65	$119.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $143.16 / $247.97	Professional		$35.53	$143.16	$247.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $58.88 / $117.17	Professional		$50.34	$58.88	$117.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $49.51 / $99.87	Professional		$36.86	$49.51	$99.87