Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $33.49	Professional		$14.00	$14.00	$33.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.62 / $129.36	Professional		$19.05	$22.62	$129.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $243.25 / $276.42	Facility		$208.16	$243.25	$276.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $81.37 / $122.11	Professional		$20.83	$81.37	$122.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $14.32 / $40.28	Facility		$11.90	$14.32	$40.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $14.51 / $38.54	Facility		$12.33	$14.51	$38.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $117.27 / $222.35	Professional		$52.17	$117.27	$222.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $58.40 / $85.00	Professional		$45.38	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $14.32 / $40.28	Facility		$11.94	$14.32	$40.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $63.45 / $119.95	Professional		$45.32	$63.45	$119.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $98.08 / $98.08	Facility		$98.08	$98.08	$98.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $176.54 / $222.35	Professional		$17.00	$176.54	$222.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $42.46 / $42.46	Professional		$42.46	$42.46	$42.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $41.49 / $52.50	Professional		$25.02	$41.49	$52.50
United Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $88.40 / $163.24	Professional		$48.30	$88.40	$163.24