Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $74.33	Facility		$33.33	$33.33	$74.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $41.66	Professional		$33.33	$33.33	$41.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $12.45 / $34.72	Professional		$3.06	$12.45	$34.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $80.42 / $114.95	Facility		$35.40	$80.42	$114.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.69 / $42.19	Professional		$5.01	$5.69	$42.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $4.75 / $41.66	Facility		$2.98	$4.75	$41.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $4.75 / $41.66	Facility		$2.98	$4.75	$41.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $52.08	Professional		$34.72	$34.72	$52.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $131.08	Professional		$55.00	$65.00	$131.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $4.75 / $41.66	Facility		$2.98	$4.75	$41.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $6.86 / $9.90	Professional		$3.24	$6.86	$9.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $156.22 / $156.22 / $156.22	Facility		$156.22	$156.22	$156.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.69 / $9.67	Professional		$5.29	$6.69	$9.67
United Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $124.09	Facility		$114.01	$114.01	$124.09
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $52.08	Professional		$34.72	$34.72	$52.08