Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $20.21 / $33.19	Professional		$15.88	$20.21	$33.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.73 / $91.85	Professional		$16.60	$25.73	$91.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $30.96 / $57.31	Professional		$19.64	$30.96	$57.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $25.22 / $49.79	Facility		$16.82	$25.22	$49.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $26.69 / $59.74	Facility		$16.23	$26.69	$59.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.65 / $114.85	Professional		$20.05	$35.65	$114.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $50.15 / $70.00	Professional		$16.05	$50.15	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $25.08 / $46.47	Facility		$16.82	$25.08	$46.47
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $52.27 / $72.59	Professional		$33.46	$52.27	$72.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $40.72 / $169.20	Facility		$26.08	$40.72	$169.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $90.05 / $114.85	Professional		$19.64	$90.05	$114.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $56.39 / $56.39	Professional		$56.39	$56.39	$56.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $104.36 / $119.51	Professional		$70.11	$104.36	$119.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.28 / $64.05	Professional		$20.05	$35.28	$64.05