Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $68.13	Facility		$20.00	$20.00	$68.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $20.00 / $36.56	Professional		$17.53	$20.00	$36.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $30.79 / $69.11	Professional		$18.76	$30.79	$69.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $44.49 / $52.83	Professional		$23.50	$44.49	$52.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $22.24 / $38.78	Facility		$17.53	$22.24	$38.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $22.50 / $42.48	Facility		$17.25	$22.50	$42.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $44.36 / $200.00	Professional		$19.85	$44.36	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $65.00 / $97.54	Professional		$44.33	$65.00	$97.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $22.24 / $38.78	Facility		$17.00	$22.24	$38.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $46.43 / $60.50	Professional		$30.25	$46.43	$60.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $200.00 / $200.00	Facility		$21.32	$200.00	$200.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $123.43 / $200.00	Professional		$30.59	$123.43	$200.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $23.11 / $23.11	Professional		$23.11	$23.11	$23.11
Security Health Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $30.69 / $30.69	Facility		$30.69	$30.69	$30.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $64.40 / $64.40	Professional		$26.50	$64.40	$64.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $36.61 / $66.19	Professional		$18.91	$36.61	$66.19