Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $135.19	Professional		$135.19	$135.19	$135.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $227.08 / $258.05	Professional		$96.29	$227.08	$258.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $45.00	Facility		$25.00	$25.75	$45.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $45.00 / $135.00	Facility		$25.00	$45.00	$135.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.75 / $45.00	Facility		$25.00	$25.75	$45.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $135.00	Facility		$55.00	$55.00	$135.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $185.66 / $185.66	Facility		$185.66	$185.66	$185.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $185.66 / $185.66	Professional		$185.66	$185.66	$185.66