Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.03 / $20.65	Facility		$19.03	$19.03	$20.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.53 / $25.16	Professional		$16.30	$20.53	$25.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $25.08 / $69.13	Professional		$15.02	$25.08	$69.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $69.98	Facility		$45.06	$52.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $23.91 / $48.59	Professional		$15.18	$23.91	$48.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $20.05 / $30.92	Facility		$15.74	$20.05	$30.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $19.64 / $30.92	Facility		$15.74	$19.64	$30.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $35.51 / $107.17	Professional		$15.59	$35.51	$107.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $58.40 / $85.00	Professional		$43.39	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $19.91 / $30.92	Facility		$15.74	$19.91	$30.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.22 / $55.17	Professional		$27.54	$40.22	$55.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $29.60 / $77.47	Facility		$20.25	$29.60	$77.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $78.25 / $107.17	Professional		$15.18	$78.25	$107.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $54.51 / $59.23	Professional		$23.36	$54.51	$59.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $31.32 / $64.36	Professional		$15.62	$31.32	$64.36