Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $23.62 / $23.62	Facility		$23.62	$23.62	$23.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $24.41 / $31.40	Professional		$20.87	$24.41	$31.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $35.15 / $73.29	Professional		$23.16	$35.15	$73.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $235.84	Facility		$131.56	$153.74	$235.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $50.15 / $90.28	Professional		$33.72	$50.15	$90.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $28.78 / $55.81	Facility		$23.25	$28.78	$55.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $29.12 / $55.81	Facility		$22.82	$29.12	$55.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $49.68 / $265.37	Professional		$29.56	$49.68	$265.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $29.46 / $65.78	Professional		$19.10	$29.46	$65.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $28.78 / $55.81	Facility		$23.25	$28.78	$55.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $51.76 / $142.59	Facility		$51.76	$51.76	$142.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $160.11 / $265.37	Professional		$44.04	$160.11	$265.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $32.86	Professional		$32.86	$32.86	$32.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $56.13 / $101.02	Professional		$56.13	$56.13	$101.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $45.47 / $77.34	Professional		$28.33	$45.47	$77.34