Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $35.72 / $35.72	Professional		$35.72	$35.72	$35.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $59.68 / $209.44	Professional		$37.68	$59.68	$209.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $52.50	Professional		$42.00	$42.00	$52.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $41.23	Facility		$41.23	$41.23	$41.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $41.23	Facility		$41.23	$41.23	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $38.24 / $172.79	Professional		$14.09	$38.24	$172.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $55.00 / $85.00	Professional		$23.96	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $41.23	Facility		$41.23	$41.23	$41.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $70.72 / $70.72	Facility		$70.72	$70.72	$70.72
United Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $43.88 / $172.79	Professional		$14.09	$43.88	$172.79