Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $15.83 / $22.02	Professional		$11.23	$15.83	$22.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.35 / $80.36	Professional		$8.35	$8.35	$80.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $64.62	Facility		$36.04	$42.12	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $34.07 / $62.16	Professional		$10.55	$34.07	$62.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $15.80 / $28.52	Facility		$9.66	$15.80	$28.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $16.00 / $30.83	Facility		$10.16	$16.00	$30.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $11.71 / $125.84	Professional		$4.91	$11.71	$125.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $64.03 / $85.00	Professional		$17.22	$64.03	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $15.85 / $28.52	Facility		$9.52	$15.85	$28.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $40.67 / $64.67	Professional		$25.80	$40.67	$64.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $127.61 / $127.61	Facility		$21.25	$127.61	$127.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $97.60 / $125.84	Professional		$10.88	$97.60	$125.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $64.89 / $64.89	Professional		$64.89	$64.89	$64.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $64.89 / $64.89	Professional		$64.89	$64.89	$64.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $11.32 / $27.33	Professional		$4.93	$11.32	$27.33