Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $76.84 / $17,823.00	Facility		$19.97	$76.84	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $53.37 / $86.68	Professional		$17.46	$53.37	$86.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $77.55 / $257.94	Professional		$23.81	$77.55	$257.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.59 / $270.63 / $359.69	Facility		$231.59	$270.63	$359.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $74.09 / $221.45	Professional		$29.53	$74.09	$221.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $43.75 / $116.30	Facility		$19.97	$43.75	$116.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $47.64 / $116.30	Facility		$19.97	$47.64	$116.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $169.79 / $537.69	Professional		$63.04	$169.79	$537.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.41 / $196.31	Professional		$58.91	$100.41	$196.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $43.84 / $117.58	Facility		$19.97	$43.84	$117.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $92.07 / $264.31	Professional		$44.28	$92.07	$264.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $41.38 / $105.43	Facility		$29.04	$41.38	$105.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $300.37 / $537.69	Professional		$74.09	$300.37	$537.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $109.79 / $297.91	Professional		$35.72	$109.79	$297.91
United Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $135.76 / $321.75	Professional		$67.75	$135.76	$321.75