Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $20.70 / $23.15	Facility		$20.70	$20.70	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $23.17 / $29.97	Professional		$19.01	$23.17	$29.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $25.06 / $79.95	Professional		$21.79	$25.06	$79.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $45.00 / $83.06	Professional		$33.00	$45.00	$83.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.80 / $38.61	Facility		$20.70	$25.80	$38.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.57 / $39.47	Facility		$20.70	$25.57	$39.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $94.31 / $167.08	Professional		$33.14	$94.31	$167.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $34.41 / $70.00	Professional		$21.51	$34.41	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.79 / $38.61	Facility		$20.70	$25.79	$38.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $57.50 / $93.30	Professional		$33.69	$57.50	$93.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Facility		$56.60	$56.60	$56.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $127.45 / $167.08	Professional		$97.58	$127.45	$167.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $78.66 / $88.06	Professional		$37.51	$78.66	$88.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $52.76 / $98.25	Professional		$30.36	$52.76	$98.25