Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $51.69	Facility		$23.18	$23.18	$51.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $23.18 / $28.98	Professional		$23.18	$23.18	$28.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $53.86 / $55.86	Facility		$46.34	$53.86	$55.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $24.15 / $24.15	Professional		$9.61	$24.15	$24.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $22.98 / $32.57	Facility		$12.56	$22.98	$32.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $23.18	Facility		$23.18	$23.18	$23.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $25.05 / $25.05	Facility		$23.18	$25.05	$25.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $63.82 / $85.00	Professional		$55.00	$63.82	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $23.18	Facility		$23.18	$23.18	$23.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $113.90 / $113.90 / $113.90	Facility		$113.90	$113.90	$113.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05