Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $26.47	Professional		$3.04	$3.04	$26.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $5.00 / $21.60	Professional		$2.70	$5.00	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $29.08	Facility		$16.22	$18.95	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.32 / $8.57	Professional		$6.75	$8.32	$8.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $20.48 / $34.40	Facility		$3.04	$20.48	$34.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $20.00 / $34.40	Facility		$3.04	$20.00	$34.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $26.40 / $59.20	Professional		$16.00	$26.40	$59.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $65.00 / $85.00	Professional		$39.04	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $20.48 / $34.40	Facility		$3.04	$20.48	$34.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $31.18 / $59.20	Professional		$16.00	$31.18	$59.20