Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $62.20	Facility		$3.00	$3.00	$62.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $27.81 / $68.80	Professional		$3.00	$27.81	$68.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.02 / $44.94	Professional		$15.85	$19.02	$44.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $39.89 / $46.46	Professional		$33.99	$39.89	$46.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $18.61 / $34.85	Facility		$4.34	$18.61	$34.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $31.02	Professional		$31.02	$31.02	$31.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $31.78 / $181.99	Facility		$4.34	$31.78	$181.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $24.50 / $52.82	Professional		$13.79	$24.50	$52.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $49.80 / $85.00	Professional		$15.51	$49.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $18.61 / $34.85	Facility		$4.34	$18.61	$34.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $31.02	Professional		$31.02	$31.02	$31.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $39.44 / $54.09	Professional		$23.64	$39.44	$54.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $75.68 / $75.68	Facility		$75.68	$75.68	$75.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $15.96 / $46.46	Professional		$15.96	$15.96	$46.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Professional		$24.94	$24.94	$24.94
Security Health Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $21.85 / $24.94	Facility		$18.16	$21.85	$24.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $57.64 / $57.64	Professional		$21.68	$57.64	$57.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $22.30 / $42.53	Professional		$13.79	$22.30	$42.53