Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $14.25 / $31.78	Facility		$14.25	$14.25	$31.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.25 / $14.87	Professional		$12.64	$14.25	$14.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $22.04 / $47.84	Professional		$13.92	$22.04	$47.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $74.16 / $106.01	Facility		$30.15	$74.16	$106.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $25.90 / $38.90	Professional		$22.79	$25.90	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.70 / $30.15	Facility		$12.64	$15.70	$30.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $45.23	Professional		$5.88	$5.88	$45.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.70 / $30.15	Facility		$12.64	$15.70	$30.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $23.96	Professional		$17.50	$17.50	$23.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $55.00 / $85.00	Professional		$48.61	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.70 / $30.15	Facility		$12.64	$15.70	$30.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $45.23	Professional		$5.88	$5.88	$45.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $31.62 / $44.35	Professional		$22.14	$31.62	$44.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $100.00	Facility		$30.15	$30.15	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $44.93	Professional		$24.57	$24.57	$44.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $23.96	Professional		$17.50	$17.50	$23.96