Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $15.00 / $30.00	Professional		$9.75	$15.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Professional		$14.11	$14.11	$14.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $21.64	Facility		$19.67	$19.67	$21.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $26.55	Facility		$19.67	$19.67	$26.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $19.53 / $19.53	Professional		$19.53	$19.53	$19.53
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 $19.67 / $19.67 / $21.64	Facility		$19.67	$19.67	$21.64
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 $14.11 / $19.53 / $19.53	Professional		$14.11	$19.53	$19.53