Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $15.17 / $15.17	Facility		$14.89	$15.17	$15.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $14.87 / $15.17	Professional		$14.87	$14.87	$15.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $33.06 / $47.26	Facility		$16.64	$33.06	$47.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.29 / $17.34	Professional		$13.88	$14.29	$17.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $17.52 / $17.52	Facility		$15.17	$17.52	$17.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $17.52 / $17.52	Facility		$14.89	$17.52	$17.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.30 / $24.51	Professional		$15.32	$17.30	$24.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $55.00 / $85.00	Professional		$47.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $17.52 / $17.52	Facility		$15.17	$17.52	$17.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $56.42	Professional		$30.86	$30.86	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $17.30 / $24.51	Professional		$15.32	$17.30	$24.51