Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $31.73	Facility		$28.67	$28.67	$31.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.52 / $37.75	Professional		$26.05	$31.52	$37.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $40.08 / $130.51	Professional		$29.90	$40.08	$130.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $106.36 / $163.15	Facility		$91.01	$106.36	$163.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $47.81 / $116.00	Professional		$34.88	$47.81	$116.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $33.17 / $44.42	Facility		$28.67	$33.17	$44.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $33.03 / $44.93	Facility		$28.49	$33.03	$44.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $72.45 / $399.91	Professional		$38.49	$72.45	$399.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $35.58 / $85.00	Professional		$21.51	$35.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $33.28 / $44.42	Facility		$28.67	$33.28	$44.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $61.75 / $101.33	Professional		$35.56	$61.75	$101.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $59.66 / $59.66	Facility		$59.66	$59.66	$59.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $161.30 / $399.91	Professional		$134.24	$161.30	$399.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.89 / $120.44	Professional		$38.90	$109.89	$120.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $62.65 / $97.27	Professional		$38.17	$62.65	$97.27