Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Professional		$5.15	$5.15	$5.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $8.60 / $30.18	Professional		$5.43	$8.60	$30.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $11.16 / $27.58	Professional		$6.25	$11.16	$27.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $20.20 / $33.75	Professional		$7.29	$20.20	$33.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $5.87 / $85.00	Professional		$2.94	$5.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $17.88	Facility		$17.88	$17.88	$17.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Professional		$6.25	$6.25	$6.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.78 / $17.14	Professional		$6.21	$8.78	$17.14