Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Facility		$23.61	$23.61	$23.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $23.61 / $26.21	Professional		$21.00	$23.61	$26.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $47.86 / $140.58	Professional		$23.23	$47.86	$140.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $83.19 / $110.57	Facility		$71.19	$83.19	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $90.68 / $103.05	Professional		$23.81	$90.68	$103.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $23.61 / $49.12	Facility		$21.00	$23.61	$49.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $23.61 / $56.52	Facility		$21.00	$23.61	$56.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $48.36 / $149.15	Professional		$20.10	$48.36	$149.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $32.41 / $65.26	Professional		$19.71	$32.41	$65.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $24.56 / $49.32	Facility		$21.00	$24.56	$49.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $11.06 / $11.06	Professional		$11.06	$11.06	$11.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $63.36 / $108.63	Professional		$48.00	$63.36	$108.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $142.63 / $142.63	Facility		$49.28	$142.63	$142.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $111.90 / $149.15	Professional		$23.81	$111.90	$149.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $114.45 / $114.45	Professional		$54.41	$114.45	$114.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $45.77 / $86.41	Professional		$22.19	$45.77	$86.41