Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $40.98	Facility		$16.57	$16.57	$40.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $33.72 / $62.27	Professional		$15.44	$33.72	$62.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $52.94 / $122.49	Professional		$22.09	$52.94	$122.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.34 / $183.34 / $222.50	Facility		$183.34	$183.34	$222.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $40.54 / $91.73	Professional		$15.87	$40.54	$91.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $30.50 / $52.46	Facility		$14.96	$30.50	$52.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $30.50 / $52.46	Facility		$14.31	$30.50	$52.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $55.94 / $167.76	Professional		$38.04	$55.94	$167.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $61.13 / $77.04	Professional		$16.01	$61.13	$77.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $30.50 / $52.30	Facility		$14.96	$30.50	$52.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $58.42 / $128.84	Professional		$29.75	$58.42	$128.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $161.25 / $291.69	Professional		$33.06	$161.25	$291.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $53.66 / $117.73	Professional		$28.75	$53.66	$117.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $53.09 / $100.21	Professional		$38.04	$53.09	$100.21