Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $21.62 / $44.75	Professional		$16.71	$21.62	$44.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $33.56 / $66.88	Professional		$20.13	$33.56	$66.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.37 / $92.37 / $112.10	Facility		$92.37	$92.37	$112.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $41.61 / $52.49	Professional		$16.41	$41.61	$52.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $23.90 / $75.28	Facility		$16.93	$23.90	$75.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $23.90 / $75.28	Facility		$16.11	$23.90	$75.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $32.54 / $913.97	Professional		$20.30	$32.54	$913.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $59.06 / $74.33	Professional		$46.14	$59.06	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $23.90 / $51.80	Facility		$16.93	$23.90	$51.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $49.58 / $70.31	Professional		$24.05	$49.58	$70.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $493.58 / $913.97	Professional		$31.19	$493.58	$913.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $28.18 / $62.71	Professional		$26.61	$28.18	$62.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $28.12 / $57.65	Professional		$19.92	$28.12	$57.65