Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Facility		$24.95	$24.95	$24.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $41.02	Professional		$27.00	$27.00	$41.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $58.97 / $84.30	Facility		$27.68	$58.97	$84.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $42.30 / $48.06	Professional		$25.49	$42.30	$48.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $29.35 / $48.48	Facility		$24.95	$29.35	$48.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $29.35 / $48.48	Facility		$24.95	$29.35	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $44.03	Professional		$29.35	$29.35	$44.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.10	Professional		$50.00	$65.00	$90.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $29.35 / $48.48	Facility		$24.95	$29.35	$48.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $53.86 / $73.56	Professional		$36.72	$53.86	$73.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $102.96 / $102.96	Facility		$102.96	$102.96	$102.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $48.59 / $48.59	Professional		$48.59	$48.59	$48.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $46.96	Professional		$29.35	$29.35	$46.96