Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Facility		$12.48	$12.48	$12.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $13.26	Professional		$12.48	$12.48	$13.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.92 / $1,100.05 / $2,478.60	Professional		$523.92	$1,100.05	$2,478.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $19.89	Professional		$13.26	$13.26	$19.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $13.26 / $25.95	Facility		$12.48	$13.26	$25.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $13.26 / $25.95	Facility		$12.48	$13.26	$25.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $215.43	Professional		$13.00	$13.00	$215.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $13.26 / $25.95	Facility		$12.48	$13.26	$25.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $342.46 / $1,183.50	Professional		$190.83	$342.46	$1,183.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $80.00 / $552.50	Facility		$13.26	$80.00	$552.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.54 / $1,391.41	Professional		$13.26	$16.54	$1,391.41
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $17.80	Professional		$13.00	$13.00	$17.80