Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $75.00 / $288.00	Professional		$12.50	$75.00	$288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $23.68 / $46.73	Professional		$19.02	$23.68	$46.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $49.67 / $60.28	Professional		$37.90	$49.67	$60.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $42.58 / $42.58	Professional		$42.58	$42.58	$42.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $31.21 / $56.47	Professional		$13.79	$31.21	$56.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $49.80 / $85.00	Professional		$21.29	$49.80	$85.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $42.58 / $42.58	Professional		$42.58	$42.58	$42.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $53.22 / $74.64	Professional		$32.61	$53.22	$74.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $46.46	Professional		$21.91	$21.91	$46.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $79.11 / $79.11	Professional		$27.84	$79.11	$79.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $24.79 / $48.27	Professional		$13.79	$24.79	$48.27