Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $214.08	Facility		$20.83	$20.83	$214.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $22.29 / $24.00	Professional		$14.50	$22.29	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $31.87	Facility		$20.83	$20.83	$31.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $100.00	Facility		$20.83	$20.83	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $37.49	Facility		$20.83	$20.83	$37.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $126.53	Facility		$65.00	$70.00	$126.53