Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Facility		$21.44	$21.44	$21.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $20.84 / $26.53	Professional		$8.94	$20.84	$26.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $27.98 / $53.77	Professional		$12.73	$27.98	$53.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $34.03 / $50.36	Professional		$12.80	$34.03	$50.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $19.05 / $27.69	Facility		$11.80	$19.05	$27.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $17.20 / $27.69	Facility		$11.34	$17.20	$27.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $32.36 / $148.97	Professional		$17.28	$32.36	$148.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $50.00 / $70.00	Professional		$24.58	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $19.89 / $27.69	Facility		$11.80	$19.89	$27.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $27.95 / $47.30	Professional		$15.47	$27.95	$47.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $75.00	Facility		$25.28	$25.28	$75.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $117.30 / $148.97	Professional		$12.80	$117.30	$148.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.88 / $62.29	Professional		$15.94	$27.88	$62.29