Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Facility		$24.97	$24.97	$24.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $36.63	Professional		$24.97	$24.97	$36.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
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 $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $36.63	Facility		$24.97	$24.97	$36.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $40.29	Facility		$24.97	$24.97	$40.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
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 $24.97 / $24.97 / $36.63	Facility		$24.97	$24.97	$36.63
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 $0.65 / $0.90 / $0.90	Professional		$0.65	$0.90	$0.90