Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $64.47 / $64.47	Facility		$28.91	$64.47	$64.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $29.93 / $36.14	Professional		$28.91	$29.93	$36.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $30.00 / $57.28	Professional		$17.30	$30.00	$57.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.43 / $30.72	Facility		$9.27	$13.43	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $30.72 / $35.69	Professional		$9.53	$30.72	$35.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $30.64 / $36.14	Facility		$18.95	$30.64	$36.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $30.72 / $36.14	Facility		$16.89	$30.72	$36.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.40 / $722.89	Professional		$30.00	$33.40	$722.89
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 $16.89 / $30.00 / $39.03	Facility		$16.89	$30.00	$39.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $7.22	Professional		$7.22	$7.22	$7.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $38.47 / $57.92	Professional		$26.07	$38.47	$57.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $159.00	Facility		$30.72	$30.72	$159.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $38.31 / $722.89	Professional		$30.72	$38.31	$722.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $38.67 / $55.86	Professional		$30.56	$38.67	$55.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.90 / $36.14	Professional		$30.00	$30.90	$36.14