Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $23.07 / $32.75	Professional		$19.09	$23.07	$32.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $41.08 / $99.33	Professional		$26.04	$41.08	$99.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.73 / $47.30	Facility		$19.09	$26.73	$47.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.82 / $45.88	Facility		$19.09	$26.82	$45.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $159.61 / $159.61	Professional		$159.61	$159.61	$159.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $149.25	Professional		$50.00	$65.00	$149.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.73 / $50.69	Facility		$19.09	$26.73	$50.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $57.58 / $80.30	Professional		$31.38	$57.58	$80.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $46.52 / $123.58	Facility		$45.88	$46.52	$123.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $138.80 / $159.61	Professional		$104.67	$138.80	$159.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $39.50	Professional		$39.50	$39.50	$39.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $193.32 / $193.32	Professional		$49.85	$193.32	$193.32