Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $18.79 / $30.00	Professional		$11.65	$18.79	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $49.00	Facility		$35.00	$35.00	$49.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $53.27 / $53.27	Professional		$53.27	$53.27	$53.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $38.50	Facility		$35.00	$35.00	$38.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $53.27 / $53.27	Professional		$38.47	$53.27	$53.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $33.75	Professional		$28.69	$28.69	$33.75