Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $28.33 / $28.33	Professional		$28.33	$28.33	$28.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $47.31 / $166.04	Professional		$29.88	$47.31	$166.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $33.38 / $41.72	Professional		$33.38	$33.38	$41.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $32.69 / $32.69	Facility		$32.69	$32.69	$32.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $32.69 / $32.69	Facility		$32.69	$32.69	$32.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $30.32 / $138.88	Professional		$18.79	$30.32	$138.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $55.00 / $85.00	Professional		$41.07	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $32.69 / $32.69	Facility		$32.69	$32.69	$32.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $56.06	Facility		$56.06	$56.06	$56.06
United Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $34.78 / $67.81	Professional		$18.79	$34.78	$67.81