Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $10.19 / $319.35	Facility		$9.60	$10.19	$319.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $59.30 / $61.50	Facility		$51.02	$59.30	$61.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.58 / $67.23	Professional		$10.00	$20.58	$67.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $67.91 / $97.07	Facility		$10.19	$67.91	$97.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.01 / $39.79	Professional		$28.50	$35.01	$39.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $12.75 / $44.91	Facility		$9.60	$12.75	$44.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $12.75 / $44.91	Facility		$10.19	$12.75	$44.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $15.95	Professional		$10.63	$10.63	$15.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $12.75 / $44.91	Facility		$9.60	$12.75	$44.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $48.05 / $69.30	Professional		$22.66	$48.05	$69.30
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 $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $38.09 / $69.64	Professional		$38.09	$38.09	$69.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.00	Professional		$10.00	$10.00	$15.00