Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $38.01 / $39.43	Facility		$32.71	$38.01	$39.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $17.00 / $25.12	Professional		$15.83	$17.00	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $37.53 / $53.64	Facility		$17.52	$37.53	$53.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $29.00 / $32.95	Professional		$16.22	$29.00	$32.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $17.69 / $26.38	Facility		$12.25	$17.69	$26.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $17.69 / $26.38	Facility		$12.25	$17.69	$26.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $27.93	Professional		$18.62	$18.62	$27.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $52.16 / $85.00	Professional		$52.16	$52.16	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $17.69 / $26.38	Facility		$12.25	$17.69	$26.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $29.19 / $42.02	Professional		$19.98	$29.19	$42.02
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 $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $27.52 / $34.35	Professional		$18.48	$27.52	$34.35
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $29.79	Professional		$18.62	$18.62	$29.79