Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $40.59 / $145.32	Facility		$18.23	$40.59	$145.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $30.41 / $51.37	Professional		$15.98	$30.41	$51.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $43.06 / $126.02	Professional		$19.17	$43.06	$126.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $121.10 / $185.77	Facility		$103.63	$121.10	$185.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $48.53 / $110.14	Professional		$27.47	$48.53	$110.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $34.74 / $57.19	Facility		$17.20	$34.74	$57.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $34.58 / $60.48	Facility		$16.89	$34.58	$60.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $79.20 / $251.37	Professional		$36.24	$79.20	$251.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $49.63 / $71.18	Professional		$20.68	$49.63	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $35.15 / $57.98	Facility		$17.20	$35.15	$57.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $58.30 / $121.88	Professional		$38.15	$58.30	$121.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $164.03 / $251.37	Professional		$39.15	$164.03	$251.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $86.27 / $195.80	Professional		$43.66	$86.27	$195.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $64.69 / $127.54	Professional		$35.22	$64.69	$127.54