Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $48.21	Facility		$21.62	$21.62	$48.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $27.02	Professional		$21.62	$21.62	$27.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.97 / $49.02	Professional		$13.59	$22.97	$49.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $23.23 / $33.21	Facility		$12.81	$23.23	$33.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $25.53 / $29.01	Professional		$10.03	$25.53	$29.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.62 / $29.95	Facility		$13.91	$21.62	$29.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $20.63 / $29.95	Facility		$13.91	$20.63	$29.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $29.28	Professional		$22.52	$22.52	$29.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $29.00 / $65.00	Professional		$8.33	$29.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.62 / $29.95	Facility		$13.91	$21.62	$29.95
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $32.39 / $45.44	Professional		$22.68	$32.39	$45.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $187.56 / $187.56	Facility		$187.56	$187.56	$187.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $30.83	Professional		$22.52	$22.52	$30.83