Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $67.20 / $1,525.76	Facility		$19.63	$67.20	$1,525.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $27.10 / $505.41	Professional		$16.32	$27.10	$505.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $183.01 / $1,190.30	Professional		$25.94	$183.01	$1,190.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.72 / $1,344.51 / $1,571.17	Facility		$749.72	$1,344.51	$1,571.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $83.63 / $1,087.80	Professional		$18.44	$83.63	$1,087.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $52.95 / $1,090.92	Facility		$18.68	$52.95	$1,090.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $264.58 / $1,089.30	Facility		$19.63	$264.58	$1,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $313.55 / $1,575.44	Professional		$75.95	$313.55	$1,575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $366.80 / $813.57	Professional		$221.25	$366.80	$813.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $52.95 / $1,090.92	Facility		$18.68	$52.95	$1,090.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $234.78 / $1,303.52	Professional		$39.97	$234.78	$1,303.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $43.13 / $682.41	Facility		$34.50	$43.13	$682.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $491.02 / $2,938.51	Professional		$18.97	$491.02	$2,938.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $154.76 / $1,506.59	Professional		$30.34	$154.76	$1,506.59
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $300.35 / $627.10	Professional		$64.56	$300.35	$627.10