Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $25.91	Facility		$11.62	$11.62	$25.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $14.52	Professional		$11.62	$11.62	$14.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $24.44	Professional		$14.52	$14.52	$24.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $35.74 / $51.09	Facility		$14.52	$35.74	$51.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $15.45 / $18.75	Professional		$14.52	$15.45	$18.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $21.78	Professional		$7.75	$7.75	$21.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $18.30	Professional		$14.52	$14.52	$18.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $21.78	Professional		$7.75	$7.75	$21.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $132.43 / $191.36	Professional		$104.66	$132.43	$191.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $20.32	Professional		$14.52	$14.52	$20.32