Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $15.10	Professional		$13.00	$13.00	$15.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $91.91 / $130.27	Facility		$50.24	$91.91	$130.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $39.40 / $47.81	Professional		$38.25	$39.40	$47.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.89 / $16.89	Facility		$16.59	$16.89	$16.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $51.12	Professional		$32.38	$34.08	$51.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $20.92 / $31.14	Professional		$16.96	$20.92	$31.14
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $51.81	Professional		$32.38	$34.08	$51.81