Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Facility		$6.68	$6.68	$6.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $8.40 / $21.13	Professional		$6.43	$8.40	$21.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $44.89 / $46.56	Facility		$38.63	$44.89	$46.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.28 / $47.06	Professional		$11.03	$18.28	$47.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $17.23 / $29.89	Facility		$9.35	$17.23	$29.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.50 / $23.46	Professional		$9.35	$16.50	$23.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $9.23 / $21.13	Facility		$6.43	$9.23	$21.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $9.23 / $21.13	Facility		$6.43	$9.23	$21.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.21 / $73.77	Professional		$6.68	$8.21	$73.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $9.23 / $22.40	Facility		$6.43	$9.23	$22.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $26.82 / $37.40	Professional		$11.00	$26.82	$37.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $104.40 / $104.40	Facility		$12.68	$104.40	$104.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $58.20 / $73.77	Professional		$9.35	$58.20	$73.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $6.98 / $11.66	Professional		$4.66	$6.98	$11.66