Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Facility		$5.17	$5.17	$5.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.57 / $36.19	Professional		$5.17	$7.57	$36.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.25 / $36.11	Professional		$5.01	$18.25	$36.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $40.90 / $50.63	Professional		$20.52	$40.90	$50.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $6.20 / $34.68	Facility		$5.04	$6.20	$34.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $6.35 / $36.14	Facility		$5.04	$6.35	$36.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $23.82 / $125.00	Professional		$6.95	$23.82	$125.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $60.00 / $123.42	Professional		$16.50	$60.00	$123.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $6.20 / $35.07	Facility		$5.04	$6.20	$35.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.60 / $15.23	Professional		$5.76	$9.60	$15.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Facility		$12.40	$12.40	$12.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $24.96 / $125.00	Professional		$22.32	$24.96	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $17.01 / $28.70	Professional		$6.52	$17.01	$28.70