Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $233.38	Facility		$36.00	$36.00	$233.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $54.15	Professional		$36.00	$36.00	$54.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $10.18 / $37.50	Professional		$2.72	$10.18	$37.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $3.60 / $38.25	Facility		$1.97	$3.60	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $4.46 / $5.05	Professional		$1.55	$4.46	$5.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $5.70 / $45.00	Facility		$2.65	$5.70	$45.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $5.70 / $45.00	Facility		$2.65	$5.70	$45.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $48.75	Professional		$37.50	$37.50	$48.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $146.72	Professional		$55.00	$65.00	$146.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $5.70 / $45.00	Facility		$2.65	$5.70	$45.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $6.10 / $8.80	Professional		$2.88	$6.10	$8.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $168.75	Facility		$38.25	$38.25	$168.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.11 / $8.83	Professional		$4.83	$6.11	$8.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $48.75	Professional		$37.50	$37.50	$48.75