Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Facility		$17.86	$17.86	$17.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $26.36	Professional		$17.86	$17.86	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $52.22 / $82.38	Facility		$45.96	$52.22	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $19.70 / $23.91	Professional		$19.13	$19.70	$23.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $17.86 / $18.55	Facility		$16.39	$17.86	$18.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $17.86 / $18.55	Facility		$16.39	$17.86	$18.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $28.77	Professional		$21.01	$21.01	$28.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $65.00 / $85.00	Professional		$49.80	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $17.86 / $18.55	Facility		$16.39	$17.86	$18.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $29.53	Professional		$16.14	$16.14	$29.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $27.31	Professional		$21.01	$21.01	$27.31