Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $23.17 / $23.17	Professional		$5.00	$23.17	$23.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $70.50 / $88.13	Professional		$16.39	$70.50	$88.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $41.71	Facility		$23.17	$23.17	$41.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $80.00	Facility		$23.17	$23.17	$80.00
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 $23.17 / $23.17 / $41.71	Facility		$23.17	$23.17	$41.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $21.56 / $22.00	Professional		$18.70	$21.56	$22.00