Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $69.56 / $346.50	Facility		$39.65	$69.56	$346.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $70.70	Professional		$39.65	$39.65	$70.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $74.78 / $77.56	Facility		$64.34	$74.78	$77.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $41.31 / $60.83	Professional		$19.35	$41.31	$60.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $83.99 / $120.06	Facility		$42.14	$83.99	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $35.97 / $44.06	Professional		$31.66	$35.97	$44.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $34.78 / $40.64	Facility		$18.88	$34.78	$40.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $52.17	Professional		$14.16	$14.16	$52.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $34.78 / $43.79	Facility		$18.88	$34.78	$43.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $53.70	Professional		$41.31	$41.31	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $115.00	Professional		$65.00	$85.00	$115.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $34.78 / $40.64	Facility		$18.88	$34.78	$40.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $52.17	Professional		$14.16	$14.16	$52.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $43.47 / $62.70	Professional		$20.50	$43.47	$62.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $212.85	Facility		$42.14	$42.14	$212.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $63.34	Professional		$34.65	$34.65	$63.34
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $53.70	Professional		$41.31	$41.31	$53.70