Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $17.20	Professional		$14.82	$14.82	$17.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $10.58 / $74.00	Professional		$7.45	$10.58	$74.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $26.33 / $40.38	Facility		$22.53	$26.33	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $9.38 / $11.72	Professional		$4.38	$9.38	$11.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $26.68	Facility		$14.82	$14.82	$26.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $18.47 / $856.80	Facility		$14.82	$18.47	$856.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.52 / $10.30	Professional		$4.99	$6.52	$10.30
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 $14.82 / $14.82 / $26.68	Facility		$14.82	$14.82	$26.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $856.80	Facility		$65.00	$65.00	$856.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.23 / $16.55	Professional		$14.08	$16.23	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $5.61 / $10.24	Professional		$4.22	$5.61	$10.24