Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $22.96 / $136.00	Professional		$14.85	$22.96	$136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $51.84 / $120.97	Professional		$27.00	$51.84	$120.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $37.38 / $86.39	Professional		$18.97	$37.38	$86.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $24.18 / $36.86	Facility		$16.17	$24.18	$36.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $23.19 / $36.40	Facility		$16.13	$23.19	$36.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $55.30 / $198.13	Professional		$24.04	$55.30	$198.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $70.00 / $109.99	Professional		$23.30	$70.00	$109.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $24.18 / $36.86	Facility		$16.17	$24.18	$36.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $61.15 / $96.57	Professional		$30.41	$61.15	$96.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Facility		$54.25	$54.25	$54.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $113.51 / $198.13	Professional		$23.90	$113.51	$198.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $63.03 / $87.10	Professional		$63.03	$63.03	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $42.86 / $114.92	Professional		$20.49	$42.86	$114.92