Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $20.64 / $20.64	Facility		$20.64	$20.64	$20.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $23.79 / $57.50	Professional		$20.64	$23.79	$57.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $31.01 / $64.19	Professional		$18.10	$31.01	$64.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $52.77 / $59.96	Professional		$22.97	$52.77	$59.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $32.56 / $45.67	Facility		$24.38	$32.56	$45.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $32.56 / $45.67	Facility		$24.38	$32.56	$45.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $38.93 / $66.64	Professional		$21.08	$38.93	$66.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $55.00 / $85.00	Professional		$25.41	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $32.56 / $45.67	Facility		$24.38	$32.56	$45.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $52.06 / $71.40	Professional		$35.64	$52.06	$71.40
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 $47.81 / $47.81 / $61.56	Professional		$47.81	$47.81	$61.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $41.95 / $68.34	Professional		$41.95	$41.95	$68.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $36.02 / $67.54	Professional		$21.08	$36.02	$67.54