Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $316.82	Facility		$12.02	$12.02	$316.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $56.67	Professional		$12.02	$13.80	$56.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $17.67 / $37.39	Professional		$10.63	$17.67	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $29.48 / $45.23	Facility		$25.23	$29.48	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $30.97 / $35.19	Professional		$12.87	$30.97	$35.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $18.95 / $26.38	Facility		$14.08	$18.95	$26.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $18.95 / $26.38	Facility		$14.08	$18.95	$26.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $22.59 / $39.11	Professional		$12.37	$22.59	$39.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $55.00 / $85.00	Professional		$35.61	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $18.95 / $26.38	Facility		$14.08	$18.95	$26.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $30.03 / $41.11	Professional		$20.52	$30.03	$41.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $34.61	Professional		$27.73	$27.73	$34.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $25.17 / $38.43	Professional		$25.17	$25.17	$38.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.48 / $38.60	Professional		$12.29	$18.48	$38.60