Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $37.52 / $37.52	Facility		$37.52	$37.52	$37.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $38.79 / $72.16	Professional		$33.26	$38.79	$72.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.95 / $186.64	Professional		$39.50	$65.95	$186.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $106.79 / $121.35	Professional		$47.63	$106.79	$121.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $42.10 / $56.28	Facility		$15.00	$42.10	$56.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Professional		$32.96	$32.96	$32.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $56.28 / $218.97	Facility		$37.52	$56.28	$218.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $60.06 / $141.28	Professional		$39.33	$60.06	$141.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $65.00	Professional		$19.34	$30.95	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $42.10 / $56.28	Facility		$15.00	$42.10	$56.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Professional		$32.96	$32.96	$32.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $100.18 / $178.71	Professional		$67.95	$100.18	$178.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $80.31 / $218.97	Facility		$80.31	$80.31	$218.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Professional		$37.79	$37.79	$37.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $87.09 / $87.09	Professional		$56.83	$87.09	$87.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $73.20 / $148.28	Professional		$40.68	$73.20	$148.28