Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $5.11 / $5.11	Facility		$5.11	$5.11	$5.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.11 / $7.42	Professional		$4.30	$5.11	$7.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $17.07 / $35.99	Professional		$8.76	$17.07	$35.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $62.98	Facility		$40.54	$47.39	$62.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $15.80 / $21.09	Professional		$7.15	$15.80	$21.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $7.06 / $15.93	Facility		$5.11	$7.06	$15.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $7.06 / $17.30	Facility		$4.92	$7.06	$17.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.05 / $68.90	Professional		$5.09	$6.05	$68.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $7.06 / $15.93	Facility		$5.11	$7.06	$15.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $20.05 / $26.63	Professional		$9.61	$20.05	$26.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $30.00 / $90.00	Facility		$16.34	$30.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $44.50 / $68.90	Professional		$7.15	$44.50	$68.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $17.63	Professional		$15.29	$15.29	$17.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $5.35 / $9.76	Professional		$3.56	$5.35	$9.76