Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $352.92 / $787.01	Facility		$352.92	$352.92	$787.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $441.15	Professional		$352.92	$352.92	$441.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $26.72 / $367.63	Professional		$7.13	$26.72	$367.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.22 / $374.98	Facility		$8.86	$16.22	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.66 / $13.25	Professional		$6.95	$11.66	$13.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $20.52 / $441.15	Facility		$6.96	$20.52	$441.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $20.52 / $441.15	Facility		$6.96	$20.52	$441.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $477.92	Professional		$367.63	$367.63	$477.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $555.14	Professional		$50.00	$65.00	$555.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $20.52 / $441.15	Facility		$6.96	$20.52	$441.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $4.80	Professional		$4.80	$4.80	$4.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $16.02 / $23.10	Professional		$7.55	$16.02	$23.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $661.73	Facility		$374.98	$374.98	$661.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $23.40	Professional		$12.80	$12.80	$23.40
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $503.36	Professional		$367.63	$367.63	$503.36