Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $94.72	Facility		$9.61	$9.61	$94.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.61 / $13.99	Professional		$9.27	$9.61	$13.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $32.18 / $67.81	Professional		$15.77	$32.18	$67.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $69.98	Facility		$45.06	$52.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $29.78 / $50.16	Professional		$13.47	$29.78	$50.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $13.30 / $29.77	Facility		$9.61	$13.30	$29.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.30 / $32.61	Facility		$9.27	$13.30	$32.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.51 / $40.45	Professional		$9.60	$12.51	$40.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $13.30 / $29.77	Facility		$9.61	$13.30	$29.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Professional		$13.10	$13.10	$13.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $37.79 / $50.19	Professional		$18.13	$37.79	$50.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $157.46	Facility		$65.00	$85.00	$157.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $44.51 / $159.56	Professional		$13.47	$44.51	$159.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $29.06 / $33.51	Professional		$29.06	$29.06	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.07 / $19.30	Professional		$8.86	$10.07	$19.30