Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $80.56 / $81.34	Facility		$36.47	$80.56	$81.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $45.60	Professional		$36.47	$37.85	$45.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.00 / $65.55	Professional		$36.47	$38.00	$65.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $80.55 / $139.72	Facility		$38.76	$80.55	$139.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $48.34 / $71.39	Professional		$38.76	$48.34	$71.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $38.76 / $40.28	Facility		$36.47	$38.76	$40.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $60.42 / $60.42	Professional		$60.42	$60.42	$60.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $38.76 / $45.60	Facility		$36.47	$38.76	$45.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $42.30 / $173.28	Professional		$38.00	$42.30	$173.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $38.76 / $40.28	Facility		$36.47	$38.76	$40.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $60.42 / $60.42	Professional		$60.42	$60.42	$60.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $54.31	Professional		$49.28	$49.28	$54.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $201.40	Facility		$38.76	$38.76	$201.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $48.34 / $173.28	Professional		$38.76	$48.34	$173.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $56.55 / $56.55	Professional		$56.55	$56.55	$56.55
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.28 / $47.88	Professional		$38.00	$40.28	$47.88