Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $26.40 / $26.40	Professional		$26.40	$26.40	$26.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $44.08 / $154.72	Professional		$27.84	$44.08	$154.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.50 / $116.44	Professional		$30.00	$37.50	$116.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $30.46 / $30.46	Facility		$30.46	$30.46	$30.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $30.46 / $30.46	Facility		$30.46	$30.46	$30.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $28.25 / $51.95	Professional		$11.58	$28.25	$51.95
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 $30.46 / $30.46 / $30.46	Facility		$30.46	$30.46	$30.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Facility		$52.24	$52.24	$52.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $32.40 / $127.58	Professional		$11.58	$32.40	$127.58