Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $43.20	Professional		$16.30	$16.30	$43.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $24.00 / $27.36	Professional		$21.60	$24.00	$27.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $30.38 / $43.42	Facility		$13.99	$30.38	$43.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $24.30 / $27.61	Professional		$13.13	$24.30	$27.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.84 / $21.48	Facility		$14.48	$14.84	$21.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $14.84 / $21.48	Facility		$11.59	$14.84	$21.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $20.07	Professional		$13.38	$13.38	$20.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $55.00 / $85.00	Professional		$15.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.84 / $21.48	Facility		$14.48	$14.84	$21.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $30.76 / $42.19	Professional		$21.06	$30.76	$42.19
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 $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $22.91 / $50.66	Professional		$19.47	$22.91	$50.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.38 / $23.08	Professional		$13.38	$13.38	$23.08