Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $58.40	Professional		$30.75	$30.75	$58.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $53.68	Professional		$36.00	$36.00	$53.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $58.57 / $83.02	Facility		$32.02	$58.57	$83.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $55.64 / $63.23	Professional		$16.22	$55.64	$63.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $35.65 / $64.16	Facility		$30.75	$35.65	$64.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $35.65 / $64.16	Facility		$30.75	$35.65	$64.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $36.42	Professional		$24.28	$24.28	$36.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $35.65 / $64.16	Facility		$30.75	$35.65	$64.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $71.28 / $97.36	Professional		$48.60	$71.28	$97.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $111.87	Professional		$37.29	$37.29	$111.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $41.89	Professional		$24.28	$24.28	$41.89