Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $27.43 / $95.41	Facility		$20.25	$27.43	$95.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $20.76 / $30.53	Professional		$17.19	$20.76	$30.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $43.87 / $90.92	Professional		$22.17	$43.87	$90.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $68.45 / $77.78	Facility		$28.78	$68.45	$77.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $40.81 / $63.46	Professional		$19.92	$40.81	$63.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $21.50 / $37.36	Facility		$17.21	$21.50	$37.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $21.14 / $38.81	Facility		$15.61	$21.14	$38.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $32.39 / $117.74	Professional		$18.88	$32.39	$117.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $68.20 / $85.00	Professional		$58.40	$68.20	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $21.26 / $37.36	Facility		$17.21	$21.26	$37.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $49.58 / $70.23	Professional		$23.88	$49.58	$70.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $29.34 / $84.75	Facility		$27.91	$29.34	$84.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $94.55 / $139.44	Professional		$27.51	$94.55	$139.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $23.47 / $27.63	Professional		$23.47	$23.47	$27.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $95.66 / $112.80	Professional		$23.99	$95.66	$112.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $33.52 / $73.43	Professional		$19.48	$33.52	$73.43