Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $21.69 / $26.54	Professional		$16.63	$21.69	$26.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $51.97 / $131.77	Professional		$24.79	$51.97	$131.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $86.16 / $122.29	Facility		$75.81	$86.16	$122.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $29.81 / $76.88	Professional		$22.32	$29.81	$76.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $26.54 / $70.14	Facility		$19.72	$26.54	$70.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $28.06 / $72.75	Facility		$19.72	$28.06	$72.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $30.53 / $247.34	Professional		$19.87	$30.53	$247.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $65.00 / $84.87	Professional		$11.69	$65.00	$84.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $26.54 / $70.14	Facility		$19.72	$26.54	$70.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $57.85 / $85.17	Professional		$40.50	$57.85	$85.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $128.63	Facility		$47.86	$47.86	$128.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $126.25 / $247.34	Professional		$22.32	$126.25	$247.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $113.91 / $124.05	Professional		$9.39	$113.91	$124.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $25.25 / $72.72	Professional		$19.87	$25.25	$72.72