Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $41.66	Professional		$2.00	$2.00	$41.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $193.85 / $261.69	Facility		$145.97	$193.85	$261.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $75.94	Professional		$13.99	$13.99	$75.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.80	Facility		$2.00	$2.00	$2.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $33.35 / $56.76	Professional		$30.66	$33.35	$56.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.20	Facility		$2.00	$2.00	$2.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $33.29 / $56.48	Professional		$22.19	$33.29	$56.48