Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Facility		$13.54	$13.54	$13.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.10 / $20.53	Professional		$12.94	$15.10	$20.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $27.58 / $64.98	Professional		$16.94	$27.58	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $16.94 / $27.79	Facility		$13.54	$16.94	$27.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Professional		$12.37	$12.37	$12.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $17.07 / $29.95	Facility		$13.54	$17.07	$29.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $108.59 / $108.59	Professional		$108.59	$108.59	$108.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $16.94 / $27.79	Facility		$13.54	$16.94	$27.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Professional		$12.37	$12.37	$12.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $40.22 / $56.10	Professional		$21.92	$40.22	$56.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.54 / $86.18	Facility		$32.09	$32.54	$86.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $86.20 / $108.59	Professional		$73.22	$86.20	$108.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $35.89	Professional		$29.91	$29.91	$35.89