Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Facility		$23.15	$23.15	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Professional		$23.15	$23.15	$23.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $31.24	Professional		$22.00	$22.00	$31.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.51 / $196.92 / $261.72	Facility		$168.51	$196.92	$261.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $70.13 / $87.66	Professional		$50.59	$70.13	$87.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $41.67	Facility		$23.15	$23.15	$41.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $80.00	Facility		$23.15	$23.15	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $353.05	Professional		$50.00	$60.00	$353.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $41.67	Facility		$23.15	$23.15	$41.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $21.56 / $22.00	Professional		$18.70	$21.56	$22.00