Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $48.39 / $108.24	Facility		$13.37	$48.39	$108.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $49.60 / $60.49	Professional		$48.39	$49.60	$60.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $19.16 / $19.87	Facility		$16.48	$19.16	$19.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $50.40 / $51.42	Professional		$11.91	$50.40	$51.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $13.99 / $51.42	Facility		$9.35	$13.99	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $26.98 / $51.42	Professional		$9.61	$26.98	$51.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $48.39 / $51.42	Facility		$8.91	$48.39	$51.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $13.37	Professional		$5.34	$5.34	$13.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $48.54 / $56.73	Facility		$8.91	$48.54	$56.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $56.11 / $411.45	Professional		$50.40	$56.11	$411.45
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 $8.91 / $48.39 / $51.42	Facility		$8.91	$48.39	$51.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $13.37	Professional		$5.34	$5.34	$13.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $22.18 / $52.47	Professional		$13.82	$22.18	$52.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $150.07	Facility		$51.42	$51.42	$150.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $54.60 / $411.45	Professional		$51.42	$54.60	$411.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $12.51 / $32.40	Professional		$12.51	$12.51	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $51.92 / $63.50	Professional		$50.40	$51.92	$63.50