Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $26.66 / $46.20	Facility		$3.00	$26.66	$46.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $27.28 / $64.51	Professional		$3.00	$27.28	$64.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.54 / $33.46	Professional		$11.31	$14.54	$33.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $25.92 / $31.45	Professional		$22.66	$25.92	$31.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $13.38 / $24.90	Facility		$4.34	$13.38	$24.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $14.27 / $47.64	Facility		$4.34	$14.27	$47.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $14.86 / $37.92	Professional		$11.37	$14.86	$37.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $42.76 / $85.00	Professional		$11.15	$42.76	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $13.38 / $24.90	Facility		$4.34	$13.38	$24.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $28.40 / $38.94	Professional		$17.02	$28.40	$38.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $22.66	Professional		$11.47	$11.47	$22.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Professional		$18.82	$18.82	$18.82
Security Health Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $16.48 / $18.82	Facility		$13.70	$16.48	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $41.45 / $41.45	Professional		$14.90	$41.45	$41.45
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.46 / $36.89	Professional		$11.37	$12.46	$36.89