Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.81 / $63.75	Facility		$12.02	$31.81	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $19.09 / $35.88	Professional		$10.92	$19.09	$35.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $29.45 / $58.38	Professional		$14.76	$29.45	$58.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $78.98 / $104.97	Facility		$67.58	$78.98	$104.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $33.83 / $70.48	Professional		$15.04	$33.83	$70.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $23.01 / $49.13	Facility		$11.60	$23.01	$49.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $22.80 / $47.60	Facility		$11.41	$22.80	$47.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $45.03 / $250.96	Professional		$23.09	$45.03	$250.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $60.00 / $75.54	Professional		$39.99	$60.00	$75.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.01 / $49.13	Facility		$11.63	$23.01	$49.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $40.03 / $74.27	Professional		$24.05	$40.03	$74.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $23.46 / $56.02	Facility		$16.57	$23.46	$56.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $107.24 / $250.96	Professional		$20.52	$107.24	$250.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $42.48	Professional		$21.01	$21.01	$42.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $36.36 / $73.86	Professional		$21.57	$36.36	$73.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $37.44 / $65.73	Professional		$22.22	$37.44	$65.73