Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $58.70 / $77.65	Facility		$34.82	$58.70	$77.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $62.07	Professional		$34.82	$34.82	$62.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.67 / $64.69 / $67.09	Facility		$55.67	$64.69	$67.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $39.90 / $39.90	Professional		$37.00	$39.90	$39.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $79.34 / $113.42	Facility		$40.71	$79.34	$113.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $46.24 / $52.55	Professional		$34.29	$46.24	$52.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $34.82	Facility		$30.10	$30.10	$34.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $45.15 / $45.15	Professional		$45.15	$45.15	$45.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $34.82	Facility		$30.10	$30.10	$34.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $47.16	Professional		$36.28	$36.28	$47.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $73.44 / $85.00	Professional		$30.10	$73.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $34.82	Facility		$30.10	$30.10	$34.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $45.15 / $45.15	Professional		$45.15	$45.15	$45.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.90 / $161.90 / $161.90	Facility		$161.90	$161.90	$161.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $42.26 / $42.26	Professional		$42.26	$42.26	$42.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $51.87	Professional		$39.90	$39.90	$51.87