Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Facility		$30.85	$30.85	$30.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $30.85 / $30.85	Professional		$8.00	$30.85	$30.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $6.10 / $132.50	Professional		$6.10	$6.10	$132.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $128.44 / $130.13	Professional		$102.75	$128.44	$130.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $30.85 / $55.53	Facility		$8.00	$30.85	$55.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $126.95 / $126.95	Facility		$8.24	$126.95	$126.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $30.85 / $55.53	Facility		$8.00	$30.85	$55.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $126.95 / $126.95	Facility		$65.00	$126.95	$126.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Professional		$130.13	$130.13	$130.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Professional		$28.37	$28.37	$28.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $27.62 / $28.37	Professional		$24.11	$27.62	$28.37