Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $8.76 / $19.53	Facility		$8.76	$8.76	$19.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $24.58	Professional		$8.76	$8.76	$24.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $20.79 / $21.56	Facility		$17.89	$20.79	$21.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $8.50 / $15.17	Professional		$4.41	$8.50	$15.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $23.23 / $33.21	Facility		$9.31	$23.23	$33.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $14.99 / $17.04	Professional		$9.75	$14.99	$17.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $9.27 / $9.67	Facility		$8.27	$9.27	$9.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $14.51	Professional		$2.94	$2.94	$14.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $9.27 / $9.67	Facility		$8.27	$9.27	$9.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $14.51	Professional		$10.95	$10.95	$14.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Professional		$65.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $9.27 / $9.67	Facility		$8.27	$9.27	$9.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $14.51	Professional		$2.94	$2.94	$14.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.25 / $14.76	Professional		$7.02	$10.25	$14.76
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 $9.31 / $9.31 / $9.31	Professional		$9.31	$9.31	$9.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $14.99	Professional		$10.95	$10.95	$14.99