Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $15.21 / $15.21	Facility		$15.21	$15.21	$15.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.13 / $19.07	Professional		$13.53	$16.13	$19.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $28.38 / $32.25	Professional		$15.77	$28.38	$32.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $16.73 / $23.43	Facility		$15.21	$16.73	$23.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $16.50 / $24.09	Facility		$15.21	$16.50	$24.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $33.04 / $113.84	Professional		$20.71	$33.04	$113.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $64.36 / $70.00	Professional		$50.00	$64.36	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $16.73 / $23.43	Facility		$15.21	$16.73	$23.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.45 / $53.20	Professional		$19.05	$34.45	$53.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $33.28 / $89.51	Facility		$32.60	$33.28	$89.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $89.50 / $113.84	Professional		$15.77	$89.50	$113.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $36.09 / $36.09	Professional		$31.49	$36.09	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $29.89 / $48.38	Professional		$20.71	$29.89	$48.38