Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $46.78 / $47.23	Facility		$21.18	$46.78	$47.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $26.48	Professional		$21.18	$21.98	$26.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $50.29 / $52.16	Facility		$43.27	$50.29	$52.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $61.91	Professional		$22.07	$22.07	$61.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $46.83 / $81.23	Facility		$22.51	$46.83	$81.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $28.07 / $41.45	Professional		$22.51	$28.07	$41.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $22.51 / $23.75	Facility		$21.18	$22.51	$23.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $22.51 / $26.21	Facility		$21.18	$22.51	$26.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $24.57 / $100.62	Professional		$22.07	$24.57	$100.62
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 $21.18 / $22.51 / $23.39	Facility		$21.18	$22.51	$23.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Professional		$35.09	$35.09	$35.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $116.95	Facility		$22.51	$22.51	$116.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $28.07 / $100.62	Professional		$22.51	$28.07	$100.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $32.84 / $32.84	Professional		$32.84	$32.84	$32.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.73 / $26.48	Professional		$22.07	$22.73	$26.48