Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $87.80	Facility		$39.36	$39.36	$87.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $40.84 / $49.21	Professional		$39.36	$40.84	$49.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $45.61 / $45.61	Professional		$25.72	$45.61	$45.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $63.44 / $90.68	Facility		$25.72	$63.44	$90.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $27.42 / $33.28	Professional		$25.72	$27.42	$33.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $43.08 / $60.59	Facility		$24.30	$43.08	$60.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $60.59 / $95.00	Facility		$24.30	$60.59	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $92.87	Professional		$28.58	$71.44	$92.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $43.08 / $60.59	Facility		$24.30	$43.08	$60.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Professional		$16.30	$16.30	$16.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $95.00	Facility		$65.00	$65.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Professional		$21.86	$25.72	$25.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $52.67 / $81.84	Professional		$44.77	$52.67	$81.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $71.44 / $85.73	Professional		$60.72	$71.44	$85.73