Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $65.14 / $65.79	Facility		$29.50	$65.14	$65.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $30.61 / $36.88	Professional		$29.50	$30.61	$36.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $70.03 / $72.63	Facility		$60.25	$70.03	$72.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $40.86 / $85.91	Professional		$30.73	$40.86	$85.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $43.59 / $90.62	Facility		$31.35	$43.59	$90.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $35.88 / $69.88	Professional		$31.35	$35.88	$69.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.35 / $45.92	Facility		$29.50	$31.35	$45.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $48.86	Professional		$9.89	$9.89	$48.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.35 / $45.92	Facility		$29.50	$31.35	$45.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $34.21 / $678.95	Professional		$30.73	$34.21	$678.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.35 / $47.63	Facility		$29.50	$31.35	$47.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $48.86	Professional		$9.89	$9.89	$48.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $31.21 / $62.03	Professional		$20.87	$31.21	$62.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $171.75	Facility		$31.35	$31.35	$171.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $39.09 / $678.95	Professional		$31.35	$39.09	$678.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $45.73 / $53.83	Professional		$40.71	$45.73	$53.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.27 / $36.88	Professional		$30.73	$32.27	$36.88