Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $14.25 / $30.00	Professional		$9.38	$14.25	$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 $28.33 / $28.33 / $28.33	Professional		$28.33	$28.33	$28.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $28.00	Facility		$20.00	$20.00	$28.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.22 / $39.22	Professional		$39.22	$39.22	$39.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $22.00	Facility		$20.00	$20.00	$22.00
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 $28.33 / $39.22 / $39.22	Professional		$28.33	$39.22	$39.22