Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $15.66 / $20.88	Facility		$9.34	$15.66	$20.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.34 / $25.10	Professional		$9.33	$9.34	$25.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $22.45 / $23.28	Facility		$19.30	$22.45	$23.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $10.99	Professional		$9.40	$9.40	$10.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $25.38 / $36.27	Facility		$10.33	$25.38	$36.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $22.96 / $26.09	Professional		$10.65	$22.96	$26.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $10.44 / $16.92	Facility		$9.34	$10.44	$16.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $10.44 / $16.92	Facility		$9.34	$10.44	$16.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.99 / $16.48	Professional		$10.44	$10.99	$16.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $65.00 / $85.00	Professional		$37.17	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $10.44 / $16.92	Facility		$9.34	$10.44	$16.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $30.00 / $30.00	Professional		$16.18	$30.00	$30.00
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 $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $14.66 / $15.89	Professional		$12.56	$14.66	$15.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $10.99 / $16.48	Professional		$10.44	$10.99	$16.48