Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $20.26 / $20.26	Professional		$12.38	$20.26	$20.26
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 $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $49.00	Facility		$35.00	$35.00	$49.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $82.24 / $82.24	Professional		$82.24	$82.24	$82.24
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 $35.00 / $35.00 / $38.50	Facility		$35.00	$35.00	$38.50
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 $59.40 / $82.24 / $82.24	Professional		$59.40	$82.24	$82.24