Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $85.57 / $93.03	Facility		$23.90	$85.57	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $27.78 / $64.73	Professional		$22.08	$27.78	$64.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $42.15 / $90.61	Professional		$24.11	$42.15	$90.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $100.77	Facility		$64.88	$75.81	$100.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $56.69 / $90.79	Professional		$27.84	$56.69	$90.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $27.04 / $50.37	Facility		$21.79	$27.04	$50.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $27.84 / $50.37	Facility		$21.99	$27.84	$50.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $48.19 / $342.78	Professional		$27.03	$48.19	$342.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $57.73 / $75.47	Professional		$21.51	$57.73	$75.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $27.46 / $50.37	Facility		$22.03	$27.46	$50.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $58.37 / $80.05	Professional		$42.44	$58.37	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $53.30 / $238.94	Facility		$37.28	$53.30	$238.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $125.65 / $342.78	Professional		$32.06	$125.65	$342.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $46.26 / $50.40	Professional		$34.93	$46.26	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $46.08 / $97.31	Professional		$26.33	$46.08	$97.31