Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $28.77 / $146.00	Facility		$21.58	$28.77	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $31.86 / $53.47	Professional		$23.32	$31.86	$53.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $35.97 / $104.59	Professional		$26.54	$35.97	$104.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $182.54	Facility		$101.83	$118.99	$182.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $49.47 / $124.81	Professional		$29.00	$49.47	$124.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $37.27 / $71.55	Facility		$28.76	$37.27	$71.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $37.40 / $71.55	Facility		$28.71	$37.40	$71.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $60.68 / $237.00	Professional		$34.89	$60.68	$237.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $45.73 / $85.00	Professional		$20.70	$45.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $37.32 / $71.55	Facility		$28.76	$37.32	$71.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $62.06 / $104.31	Professional		$37.53	$62.06	$104.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $71.25 / $71.25	Facility		$71.25	$71.25	$71.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $137.00 / $237.00	Professional		$29.00	$137.00	$237.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $81.06 / $103.71	Professional		$42.69	$81.06	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $54.28 / $116.92	Professional		$32.70	$54.28	$116.92