Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $282.30	Facility		$2.54	$2.54	$282.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.01 / $3.53	Professional		$2.54	$3.01	$3.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $8.53 / $16.54	Professional		$4.41	$8.53	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $7.90 / $8.98	Professional		$3.57	$7.90	$8.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $4.30 / $5.15	Facility		$2.68	$4.30	$5.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.30 / $5.15	Facility		$3.24	$4.30	$5.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $4.42 / $15.54	Professional		$2.62	$4.42	$15.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $55.00 / $85.00	Professional		$15.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $4.30 / $5.15	Facility		$2.68	$4.30	$5.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $10.25 / $14.30	Professional		$4.68	$10.25	$14.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $22.25 / $28.20	Professional		$3.57	$22.25	$28.20
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.20 / $9.59	Professional		$2.42	$3.20	$9.59