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 / $22.86 / $33.60	Professional		$19.09	$22.86	$33.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $45.00 / $123.00	Professional		$27.24	$45.00	$123.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $28.64 / $55.30	Facility		$19.09	$28.64	$55.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $27.12 / $47.12	Facility		$19.09	$27.12	$47.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $283.32	Professional		$283.32	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $112.13	Professional		$50.00	$65.00	$112.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $28.64 / $52.22	Facility		$19.09	$28.64	$52.22
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90
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 / $885.11	Facility		$45.88	$46.52	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $147.60 / $283.32	Professional		$104.67	$147.60	$283.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $206.13 / $206.13	Professional		$51.66	$206.13	$206.13