Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Facility		$9.71	$9.71	$9.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.91 / $15.67	Professional		$9.71	$12.91	$15.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $40.26 / $134.07	Professional		$15.78	$40.26	$134.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.99 / $38.04	Professional		$11.48	$20.99	$38.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.46 / $23.30	Facility		$9.33	$14.46	$23.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $15.04 / $71.14	Facility		$9.71	$15.04	$71.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $38.00 / $100.43	Professional		$17.18	$38.00	$100.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $14.46 / $20.48	Facility		$9.71	$14.46	$20.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $36.25 / $51.70	Professional		$25.38	$36.25	$51.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $71.14 / $71.14	Facility		$36.93	$71.14	$71.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $100.43 / $100.43	Professional		$38.04	$100.43	$100.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $33.20 / $68.19	Professional		$16.64	$33.20	$68.19