Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.76 / $65.00	Professional		$40.00	$48.76	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $42.33 / $76.50	Professional		$21.80	$42.33	$76.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.90 / $54.00	Facility		$30.00	$30.90	$54.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $270.00 / $270.00	Facility		$30.00	$270.00	$270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
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 $30.00 / $30.90 / $54.00	Facility		$30.00	$30.90	$54.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $87.42 / $198.00	Professional		$86.95	$87.42	$198.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $75.00 / $270.00	Facility		$60.00	$75.00	$270.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $83.90 / $98.70	Professional		$40.00	$83.90	$98.70
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00