Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $34.81 / $87.42	Professional		$15.62	$34.81	$87.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $40.50 / $109.73	Professional		$21.06	$40.50	$109.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $62.72 / $134.66	Professional		$30.00	$62.72	$134.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $96.17 / $304.00	Professional		$41.50	$96.17	$304.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $32.22 / $71.19	Professional		$20.68	$32.22	$71.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $52.67 / $109.70	Professional		$24.61	$52.67	$109.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $99.10 / $304.00	Professional		$31.00	$99.10	$304.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $98.44 / $211.36	Professional		$45.18	$98.44	$211.36
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $69.00 / $123.79	Professional		$35.97	$69.00	$123.79