Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Facility		$254.94	$254.94	$254.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $254.94	Professional		$17.60	$254.94	$254.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.50 / $31.12	Professional		$25.00	$27.50	$31.12
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 $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $254.94 / $356.92	Facility		$18.05	$254.94	$356.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $254.94 / $530.28	Facility		$18.05	$254.94	$530.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
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 / $254.94 / $356.92	Facility		$18.05	$254.94	$356.92
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 $11.30 / $15.64 / $15.64	Professional		$11.30	$15.64	$15.64