Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $85.63	Facility		$38.40	$38.40	$85.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $38.40 / $48.00	Professional		$38.40	$38.40	$48.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $18.96 / $40.79	Professional		$9.85	$18.96	$40.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $103.65 / $148.16	Facility		$42.40	$103.65	$148.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $18.30 / $54.38	Professional		$16.12	$18.30	$54.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $38.40 / $42.40	Facility		$9.60	$38.40	$42.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $63.60	Professional		$11.76	$11.76	$63.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $38.40 / $42.40	Facility		$9.60	$38.40	$42.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Professional		$50.00	$50.00	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $139.90	Professional		$65.00	$85.00	$139.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $38.40 / $42.40	Facility		$9.60	$38.40	$42.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $63.60	Professional		$11.76	$11.76	$63.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $22.37 / $31.37	Professional		$15.66	$22.37	$31.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $32.47	Professional		$17.77	$17.77	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Professional		$50.00	$50.00	$65.00