Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $42.86	Facility		$19.22	$19.22	$42.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $24.03	Professional		$19.22	$19.22	$24.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $42.96 / $44.56	Facility		$36.96	$42.96	$44.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $20.02 / $20.02	Professional		$15.28	$20.02	$20.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $19.01 / $26.95	Facility		$10.39	$19.01	$26.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Facility		$19.22	$19.22	$19.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.80 / $19.80	Facility		$19.22	$19.80	$19.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $59.17 / $85.00	Professional		$55.00	$59.17	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Facility		$19.22	$19.22	$19.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $93.55 / $93.55	Facility		$93.55	$93.55	$93.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43