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 $14.39 / $15.91 / $19.38	Professional		$14.39	$15.91	$19.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $69.98	Facility		$45.06	$52.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $23.81 / $32.25	Professional		$15.77	$23.81	$32.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $16.98 / $31.06	Facility		$14.52	$16.98	$31.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $18.11 / $32.11	Facility		$14.39	$18.11	$32.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.93 / $113.84	Professional		$19.50	$32.93	$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 $14.52 / $16.98 / $32.11	Facility		$14.52	$16.98	$32.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $41.81 / $57.34	Professional		$26.69	$41.81	$57.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $33.28 / $89.51	Facility		$21.36	$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 $29.60 / $36.09 / $36.09	Professional		$29.60	$36.09	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $33.11 / $49.23	Professional		$19.13	$33.11	$49.23