Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Professional		$12.68	$12.68	$12.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $25.91 / $26.87	Facility		$22.29	$25.91	$26.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $18.00 / $22.50	Professional		$14.62	$18.00	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $26.81 / $38.32	Facility		$11.97	$26.81	$38.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $24.30 / $27.61	Professional		$11.59	$24.30	$27.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $12.04 / $22.10	Facility		$10.27	$12.04	$22.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $12.04 / $44.66	Facility		$10.27	$12.04	$44.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $48.07 / $72.11	Professional		$48.07	$48.07	$72.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $65.00 / $85.00	Professional		$40.33	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $12.04 / $22.10	Facility		$10.27	$12.04	$22.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $24.55 / $34.10	Professional		$11.15	$24.55	$34.10
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 $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.21 / $21.78	Professional		$14.63	$17.21	$21.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $77.19	Professional		$51.46	$51.46	$77.19