Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $26.31 / $26.31	Facility		$26.31	$26.31	$26.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $26.31 / $26.31	Professional		$9.00	$26.31	$26.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $145.26 / $157.50	Professional		$126.00	$145.26	$157.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $39.47 / $77.25	Facility		$26.31	$39.47	$77.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $47.36 / $26,642.91	Facility		$26.31	$47.36	$26,642.91
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 $26.31 / $39.47 / $77.25	Facility		$26.31	$39.47	$77.25
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 / $26,642.91	Facility		$65.00	$65.00	$26,642.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $145.26 / $145.26	Professional		$145.26	$145.26	$145.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Professional		$29.50	$29.50	$29.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $29.50 / $29.50	Professional		$25.08	$29.50	$29.50