Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $46.94	Facility		$21.05	$21.05	$46.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $26.31	Professional		$21.05	$21.05	$26.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $33.33 / $72.36	Professional		$21.05	$33.33	$72.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $51.82 / $74.08	Facility		$21.05	$51.82	$74.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $34.44 / $39.14	Professional		$21.75	$34.44	$39.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $23.03 / $44.20	Facility		$20.53	$23.03	$44.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $23.03 / $44.20	Facility		$20.53	$23.03	$44.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $27.37	Professional		$21.05	$21.05	$27.37
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 $20.53 / $23.03 / $44.20	Facility		$20.53	$23.03	$44.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $47.82 / $67.06	Professional		$33.47	$47.82	$67.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $109.76	Facility		$21.05	$21.05	$109.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $68.36	Professional		$37.39	$37.39	$68.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $27.37	Professional		$21.05	$21.05	$27.37