Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $24.39	Professional		$22.95	$22.95	$24.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $28.69 / $28.69	Professional		$16.91	$28.69	$28.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $41.45 / $58.75	Facility		$22.66	$41.45	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $24.39 / $29.96	Professional		$17.77	$24.39	$29.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.95 / $32.13	Facility		$16.91	$22.95	$32.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.95 / $34.43	Facility		$16.91	$22.95	$34.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $60.25	Professional		$28.69	$28.69	$60.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $58.40 / $85.00	Professional		$41.26	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.95 / $32.13	Facility		$16.91	$22.95	$32.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.57 / $19.61	Professional		$17.80	$19.57	$19.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $80.00 / $107.59	Facility		$24.39	$80.00	$107.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $30.41 / $109.02	Professional		$24.39	$30.41	$109.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $23.74	Professional		$23.74	$23.74	$23.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $36.15	Professional		$28.69	$28.69	$36.15