Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $26.26 / $35.00	Professional		$17.51	$26.26	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $115.59 / $115.59	Facility		$115.59	$115.59	$115.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $25.27	Facility		$18.05	$18.05	$25.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $37.54	Facility		$18.05	$18.05	$37.54
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 $18.05 / $18.05 / $25.27	Facility		$18.05	$18.05	$25.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $115.59 / $115.59	Facility		$65.00	$115.59	$115.59