Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $39.43	Facility		$33.72	$33.72	$39.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $36.04 / $47.68	Professional		$28.80	$36.04	$47.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $44.46 / $127.56	Professional		$26.62	$44.46	$127.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $132.96	Facility		$85.61	$100.04	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $45.00 / $81.63	Professional		$28.57	$45.00	$81.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $36.17 / $56.87	Facility		$28.68	$36.17	$56.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $35.97 / $57.17	Facility		$28.68	$35.97	$57.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $67.90 / $201.47	Professional		$29.97	$67.90	$201.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $46.43 / $71.18	Professional		$21.28	$46.43	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $36.17 / $57.17	Facility		$28.68	$36.17	$57.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $75.53 / $103.85	Professional		$49.20	$75.53	$103.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $52.48 / $137.21	Facility		$36.09	$52.48	$137.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $140.60 / $201.47	Professional		$28.57	$140.60	$201.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $96.63 / $113.07	Professional		$40.26	$96.63	$113.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $58.17 / $119.55	Professional		$29.97	$58.17	$119.55