Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $20.85	Facility		$9.35	$9.35	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $11.69	Professional		$9.35	$9.35	$11.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.74 / $28.81	Professional		$9.17	$9.74	$28.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $7.21 / $10.22	Facility		$3.94	$7.21	$10.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.45 / $9.94	Professional		$3.04	$3.45	$9.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.32 / $19.23	Facility		$3.31	$3.32	$19.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $4.98	Professional		$2.41	$2.41	$4.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.32 / $19.23	Facility		$3.31	$3.32	$19.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $12.66	Professional		$9.74	$9.74	$12.66
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 $3.31 / $3.32 / $19.23	Facility		$3.31	$3.32	$19.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $4.98	Professional		$2.41	$2.41	$4.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $20.59 / $29.70	Professional		$3.04	$20.59	$29.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $100.00	Facility		$9.94	$9.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.66 / $5.13	Professional		$3.89	$4.66	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $12.66	Professional		$9.74	$9.74	$12.66