Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.00 / $24.41	Professional		$17.89	$19.00	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.80 / $19.64	Professional		$3.60	$4.80	$19.64
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 / $13.60 / $20.19	Professional		$10.71	$13.60	$20.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $19.00 / $24.41	Facility		$5.54	$19.00	$24.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $19.00 / $24.60	Facility		$5.54	$19.00	$24.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $14.83 / $41.00	Professional		$6.88	$14.83	$41.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $19.00 / $24.41	Facility		$5.54	$19.00	$24.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.56 / $15.58	Professional		$5.76	$8.56	$15.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Facility		$12.40	$12.40	$12.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $22.32 / $41.00	Professional		$13.89	$22.32	$41.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $48.19 / $64.19	Professional		$28.89	$48.19	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $11.35 / $20.05	Professional		$6.24	$11.35	$20.05