Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $7.58 / $16.89	Facility		$7.58	$7.58	$16.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $9.47	Professional		$7.58	$7.58	$9.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.37 / $26.84	Professional		$7.51	$12.37	$26.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $9.83 / $14.05	Facility		$3.79	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $12.78 / $14.53	Professional		$4.13	$12.78	$14.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $8.53 / $16.39	Facility		$7.58	$8.53	$16.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Professional		$5.34	$5.34	$5.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $8.53 / $16.39	Facility		$7.58	$8.53	$16.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $5.69	Professional		$3.79	$3.79	$5.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $55.00 / $85.00	Professional		$27.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $8.53 / $16.39	Facility		$7.58	$8.53	$16.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Professional		$5.34	$5.34	$5.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $17.73 / $24.88	Professional		$12.42	$17.73	$24.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $95.00	Facility		$3.79	$3.79	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.84	Professional		$14.13	$14.13	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $7.96	Professional		$3.79	$3.79	$7.96