Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $22.38	Facility		$19.13	$19.13	$22.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.76 / $36.89	Professional		$16.73	$19.76	$36.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $43.13 / $88.77	Professional		$21.18	$43.13	$88.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $64.23 / $72.98	Facility		$28.73	$64.23	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $38.15 / $59.53	Professional		$18.80	$38.15	$59.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $21.03 / $35.29	Facility		$16.35	$21.03	$35.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $20.09 / $35.99	Facility		$16.26	$20.09	$35.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $31.35 / $111.25	Professional		$19.20	$31.35	$111.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $85.00	Professional		$58.40	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $20.94 / $35.29	Facility		$16.27	$20.94	$35.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $46.97 / $65.98	Professional		$22.57	$46.97	$65.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.18 / $29.30 / $80.00	Facility		$26.18	$29.30	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $89.25 / $130.79	Professional		$25.80	$89.25	$130.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $90.36 / $105.76	Professional		$45.14	$90.36	$105.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $29.78 / $69.91	Professional		$19.14	$29.78	$69.91