Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $44.03 / $50.25	Facility		$12.13	$44.03	$50.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.63 / $32.18	Professional		$11.09	$14.63	$32.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $22.17 / $47.59	Professional		$12.76	$22.17	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $53.18	Facility		$34.24	$40.02	$53.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $29.19 / $46.60	Professional		$15.03	$29.19	$46.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $14.29 / $26.22	Facility		$11.18	$14.29	$26.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $14.32 / $26.68	Facility		$11.18	$14.32	$26.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $25.27 / $199.96	Professional		$14.00	$25.27	$199.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $58.40 / $85.00	Professional		$18.36	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $14.29 / $26.68	Facility		$11.18	$14.29	$26.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $31.55 / $43.27	Professional		$21.84	$31.55	$43.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $27.45 / $139.38	Facility		$19.14	$27.45	$139.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $63.40 / $199.96	Professional		$17.35	$63.40	$199.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.81 / $27.27	Professional		$17.60	$23.81	$27.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $23.92 / $51.41	Professional		$13.71	$23.92	$51.41