Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $200.00 / $200.00	Facility		$12.05	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.07 / $19.67	Professional		$12.05	$17.07	$19.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $47.21 / $115.55	Professional		$18.55	$47.21	$115.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $81.17	Facility		$52.27	$61.08	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $68.97 / $78.38	Professional		$23.45	$68.97	$78.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $17.94 / $35.04	Facility		$11.43	$17.94	$35.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.71 / $89.29	Facility		$12.05	$18.71	$89.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $48.78 / $124.17	Professional		$23.52	$48.78	$124.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.07 / $35.04	Facility		$12.05	$18.07	$35.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $46.54 / $64.90	Professional		$31.86	$46.54	$64.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $89.29 / $89.29	Facility		$45.80	$89.29	$89.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $124.17 / $124.17	Professional		$82.44	$124.17	$124.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $130.78 / $130.78	Professional		$130.78	$130.78	$130.78
United Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $43.52 / $88.70	Professional		$22.80	$43.52	$88.70