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 $18.30 / $22.36 / $34.84	Professional		$18.30	$22.36	$34.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $54.79 / $113.98	Professional		$28.13	$54.79	$113.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.42 / $48.59	Facility		$19.09	$26.42	$48.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $27.12 / $48.59	Facility		$19.09	$27.12	$48.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $167.71 / $167.71	Professional		$167.71	$167.71	$167.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $121.06	Professional		$50.00	$58.40	$121.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.40 / $45.84	Facility		$19.09	$26.40	$45.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
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 / $72.65 / $123.58	Facility		$45.88	$72.65	$123.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $154.75 / $167.71	Professional		$104.67	$154.75	$167.71