Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $368.26	Facility		$14.39	$14.39	$368.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.97	Professional		$14.39	$14.39	$14.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.93 / $4.08	Facility		$3.39	$3.93	$4.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $1.99 / $50.00	Professional		$1.99	$1.99	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $2.02 / $3.50	Facility		$1.03	$2.02	$3.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $15.29	Facility		$14.39	$14.39	$15.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $19.43	Facility		$14.39	$14.39	$19.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $9.08	Professional		$9.08	$9.08	$9.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $65.00 / $85.00	Professional		$6.39	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $15.45	Facility		$14.39	$14.39	$15.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.52 / $9.08	Professional		$2.02	$2.52	$9.08