Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $90.67	Facility		$26.46	$26.46	$90.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $25.85 / $34.03	Professional		$22.13	$25.85	$34.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $34.97 / $80.98	Professional		$24.67	$34.97	$80.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $74.77 / $114.69	Facility		$63.98	$74.77	$114.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $58.17 / $70.29	Professional		$27.82	$58.17	$70.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $28.26 / $50.27	Facility		$22.49	$28.26	$50.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $28.12 / $55.71	Facility		$22.49	$28.12	$55.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $45.31 / $178.32	Professional		$25.66	$45.31	$178.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $50.00 / $71.38	Professional		$21.51	$50.00	$71.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $28.26 / $50.27	Facility		$22.49	$28.26	$50.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $60.78 / $79.20	Professional		$39.60	$60.78	$79.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $109.00 / $109.00	Facility		$32.33	$109.00	$109.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $125.80 / $178.32	Professional		$36.68	$125.80	$178.32
Security Health Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $52.31 / $52.31	Facility		$52.31	$52.31	$52.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $73.70 / $85.66	Professional		$39.27	$73.70	$85.66
United Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $25.62 / $25.62	Facility		$25.62	$25.62	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $39.78 / $84.11	Professional		$25.20	$39.78	$84.11