Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $17.45	Facility		$17.45	$17.45	$17.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.27 / $23.21	Professional		$16.82	$19.27	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $34.43 / $100.05	Professional		$20.48	$34.43	$100.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $20.83 / $33.79	Facility		$16.96	$20.83	$33.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Professional		$10.92	$10.92	$10.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $21.10 / $38.04	Facility		$17.45	$21.10	$38.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $193.44 / $193.44	Professional		$193.44	$193.44	$193.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $74.27	Professional		$50.00	$60.00	$74.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $20.83 / $33.79	Facility		$16.96	$20.83	$33.79
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Professional		$10.92	$10.92	$10.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $52.06 / $72.59	Professional		$28.37	$52.06	$72.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $156.09 / $217.62	Facility		$41.37	$156.09	$217.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $104.55 / $193.44	Professional		$94.37	$104.55	$193.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $43.50	Professional		$36.25	$36.25	$43.50