Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $14.02	Facility		$14.02	$14.02	$14.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $17.53	Professional		$14.02	$14.02	$17.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $88.11	Professional		$62.05	$62.05	$88.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $96.28 / $176.13	Facility		$62.05	$96.28	$176.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $81.92	Professional		$62.05	$62.05	$81.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.55 / $53.71	Facility		$14.02	$14.55	$53.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.90 / $53.71	Facility		$14.02	$14.90	$53.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $62.05 / $80.67	Professional		$55.86	$62.05	$80.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $70.00 / $88.32	Professional		$55.84	$70.00	$88.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.55 / $53.71	Facility		$14.02	$14.55	$53.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $64.39	Professional		$62.05	$62.05	$64.39
United Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $62.05 / $86.87	Professional		$55.85	$62.05	$86.87