Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $155.80 / $622.21	Facility		$72.04	$155.80	$622.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $45.58 / $140.71	Professional		$14.70	$45.58	$140.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $24.62 / $48.91	Professional		$16.09	$24.62	$48.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $44.03 / $69.45	Facility		$34.40	$44.03	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $36.51 / $41.49	Professional		$29.23	$36.51	$41.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $17.07 / $31.78	Facility		$13.34	$17.07	$31.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $106.85 / $165.09	Facility		$50.93	$106.85	$165.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $33.27 / $65.09	Professional		$20.00	$33.27	$65.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $49.80 / $85.00	Professional		$13.34	$49.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $17.07 / $31.78	Facility		$13.34	$17.07	$31.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $39.70 / $48.83	Professional		$26.84	$39.70	$48.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $106.29 / $106.29	Facility		$106.29	$106.29	$106.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $82.66	Professional		$16.48	$16.48	$82.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $54.38 / $54.38	Professional		$20.23	$54.38	$54.38
United Facility/Professional Facility Modifier Low / Median / High Price $181.99 / $181.99 / $234.67	Facility		$181.99	$181.99	$234.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $31.55 / $54.90	Professional		$16.55	$31.55	$54.90