Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $32.90 / $58.96	Facility		$10.00	$32.90	$58.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $29.83 / $51.31	Professional		$10.00	$29.83	$51.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $28.64 / $61.92	Professional		$19.02	$28.64	$61.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $102.67 / $157.50	Facility		$87.86	$102.67	$157.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $35.85 / $89.37	Professional		$31.55	$35.85	$89.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $19.23 / $43.39	Facility		$6.85	$19.23	$43.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $29.24 / $117.97	Facility		$14.91	$29.24	$117.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $24.79 / $54.90	Professional		$13.79	$24.79	$54.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $50.00 / $164.29	Professional		$32.13	$50.00	$164.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $19.23 / $43.39	Facility		$6.85	$19.23	$43.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $80.22 / $112.51	Professional		$37.40	$80.22	$112.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $180.62 / $180.62	Facility		$180.62	$180.62	$180.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $26.53 / $26.53	Professional		$26.53	$26.53	$26.53
Security Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $21.89 / $24.99	Facility		$18.19	$21.89	$24.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $25.58 / $77.27	Professional		$21.74	$25.58	$77.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $29.76 / $54.90	Professional		$13.79	$29.76	$54.90