Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $64.18 / $98.45	Facility		$20.00	$64.18	$98.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $27.00 / $66.03	Professional		$17.00	$27.00	$66.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $48.05 / $49.84	Facility		$41.35	$48.05	$49.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $23.53	Professional		$21.00	$21.00	$23.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $54.24 / $77.53	Facility		$22.10	$54.24	$77.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $49.15 / $55.85	Professional		$22.76	$49.15	$55.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.35 / $34.51	Facility		$20.00	$22.35	$34.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.35 / $38.00	Facility		$20.00	$22.35	$38.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $35.29	Professional		$22.35	$23.53	$35.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $78.12 / $85.00	Professional		$65.00	$78.12	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.35 / $34.51	Facility		$20.00	$22.35	$34.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.00 / $47.73	Professional		$30.00	$32.00	$47.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $31.38 / $31.38	Professional		$25.42	$31.38	$31.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.26 / $38.89	Professional		$22.35	$25.26	$38.89