Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $119.78	Facility		$25.26	$25.26	$119.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.26 / $76.80	Professional		$20.20	$25.26	$76.80
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.41 / $87.41 / $87.41	Professional	CO	$87.41	$87.41	$87.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $25.88 / $95.82	Professional		$21.99	$25.88	$95.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $97.28 / $113.68	Facility		$65.00	$97.28	$113.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $81.73 / $108.10	Professional		$27.57	$81.73	$108.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.87 / $64.22	Facility		$18.62	$29.87	$64.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $31.77 / $143.82	Facility		$20.05	$31.77	$143.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $32.61 / $201.41	Professional		$28.43	$32.61	$201.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.00 / $110.93	Professional		$40.00	$65.00	$110.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.87 / $64.22	Facility		$18.62	$29.87	$64.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $73.27 / $102.77	Professional		$41.01	$73.27	$102.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $76.84 / $143.82	Facility		$64.81	$76.84	$143.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $163.10 / $201.41	Professional		$33.82	$163.10	$201.41
Security Health Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $74.03 / $74.03	Facility		$74.03	$74.03	$74.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $89.32 / $89.32	Professional		$39.03	$89.32	$89.32
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.61 / $89.05	Professional		$28.46	$32.61	$89.05