Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $41.76 / $87.25	Facility		$18.68	$41.76	$87.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.54 / $50.23	Professional		$18.68	$23.54	$50.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $44.89 / $46.56	Facility		$38.63	$44.89	$46.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $22.00	Professional		$20.00	$20.00	$22.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $50.66 / $72.42	Facility		$20.65	$50.66	$72.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $45.91 / $52.18	Professional		$21.26	$45.91	$52.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $20.88 / $31.91	Facility		$18.68	$20.88	$31.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $20.70 / $31.91	Facility		$16.53	$20.70	$31.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $32.97	Professional		$20.88	$21.98	$32.97
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 $18.68 / $20.88 / $31.91	Facility		$18.68	$20.88	$31.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.00 / $44.71	Professional		$30.00	$32.00	$44.71
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 $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $29.32 / $30.15	Professional		$23.83	$29.32	$30.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $34.24	Professional		$20.88	$21.98	$34.24