Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $33.79	Professional		$23.80	$23.80	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $33.72	Professional		$23.90	$23.90	$33.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $45.00	Facility		$25.00	$25.00	$45.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $90.00	Facility		$25.00	$25.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $88.94	Professional		$88.94	$88.94	$88.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $45.00	Facility		$25.00	$25.00	$45.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $70.00 / $90.00	Facility		$32.74	$70.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $32.74	Professional		$23.90	$32.74	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $88.94	Professional		$88.94	$88.94	$88.94