Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $26.02 / $58.02	Facility		$26.02	$26.02	$58.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $32.52	Professional		$26.02	$26.02	$32.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $27.10 / $68.30	Professional		$21.73	$27.10	$68.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $55.40 / $79.19	Facility		$27.64	$55.40	$79.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $35.56 / $40.40	Professional		$23.95	$35.56	$40.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.02 / $45.62	Facility		$21.20	$26.02	$45.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.02 / $45.62	Facility		$21.20	$26.02	$45.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $35.22	Professional		$27.10	$27.10	$35.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.02 / $45.62	Facility		$21.20	$26.02	$45.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $48.81 / $70.40	Professional		$23.02	$48.81	$70.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $120.45	Facility		$27.64	$27.64	$120.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $70.87	Professional		$38.76	$38.76	$70.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $37.11	Professional		$27.10	$27.10	$37.11