Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Facility		$19.05	$19.05	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $44.67	Facility		$37.15	$42.66	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.42 / $28.18	Facility		$10.47	$20.42	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Facility		$19.05	$19.95	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $100.00	Facility		$20.42	$20.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $19.95	Facility		$18.62	$18.62	$19.95