Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $24.41	Professional		$18.00	$18.00	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $6.34 / $93.85	Professional		$3.60	$6.34	$93.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $45.47	Facility		$34.24	$40.02	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $17.77 / $23.42	Professional		$10.71	$17.77	$23.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $18.76 / $43.20	Facility		$15.76	$18.76	$43.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $19.19 / $35.61	Facility		$15.76	$19.19	$35.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $57.65 / $154.65	Professional		$26.87	$57.65	$154.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $58.40 / $85.00	Professional		$49.01	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $18.84 / $41.38	Facility		$15.76	$18.84	$41.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $48.69 / $88.62	Professional		$32.72	$48.69	$88.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $48.23 / $48.23	Facility		$48.23	$48.23	$48.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $97.90 / $154.65	Professional		$24.72	$97.90	$154.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $48.18 / $64.18	Professional		$28.89	$48.18	$64.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $45.47 / $80.27	Professional		$24.98	$45.47	$80.27