Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Professional		$19.20	$19.20	$19.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $39.22 / $40.68	Facility		$33.74	$39.22	$40.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $17.00 / $25.90	Professional		$16.32	$17.00	$25.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $44.68 / $63.86	Facility		$11.89	$44.68	$63.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $27.43 / $31.18	Professional		$18.75	$27.43	$31.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $18.23 / $24.94	Facility		$16.89	$18.23	$24.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $18.23 / $24.94	Facility		$16.89	$18.23	$24.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $38.61	Professional		$25.74	$25.74	$38.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $42.69 / $85.00	Professional		$42.69	$42.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $18.23 / $24.94	Facility		$16.89	$18.23	$24.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $27.00 / $44.34	Professional		$17.89	$27.00	$44.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $25.61 / $27.52	Professional		$21.75	$25.61	$27.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $25.74 / $38.61	Professional		$25.74	$25.74	$38.61