Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $34.49 / $34.49	Facility		$34.49	$34.49	$34.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $34.49 / $34.49	Professional		$32.18	$34.49	$34.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $21.34 / $32.28	Professional		$21.34	$21.34	$32.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $34.49 / $62.08	Facility		$31.66	$34.49	$62.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $34.49 / $950.51	Facility		$31.66	$34.49	$950.51
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 $31.66 / $34.49 / $62.08	Facility		$31.66	$34.49	$62.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $69.03 / $950.51	Facility		$65.00	$69.03	$950.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $39.69 / $40.50	Professional		$34.43	$39.69	$40.50