Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $35,568.47 / $88,272.22	Facility		$24.89	$35,568.47	$88,272.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $25.20 / $29,910.14	Professional		$24.89	$25.20	$29,910.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.69 / $55.55	Professional		$31.11	$31.69	$55.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $76.59 / $108.56	Facility		$41.87	$76.59	$108.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $39.84 / $86.79	Professional		$31.11	$39.84	$86.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $28.45 / $34.85	Facility		$24.89	$28.45	$34.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $28.45 / $38.08	Facility		$24.89	$28.45	$38.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $40.44	Professional		$31.11	$31.11	$40.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $107.88	Professional		$50.00	$70.00	$107.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $28.45 / $34.85	Facility		$24.89	$28.45	$34.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $88.91 / $88.91	Professional		$88.91	$88.91	$88.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $32.29	Professional		$31.11	$31.11	$32.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $43.68 / $43.68	Professional		$32.97	$43.68	$43.68
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $37.33	Professional		$31.11	$31.11	$37.33