Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Facility		$22.16	$22.16	$22.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $22.16 / $22.16	Professional		$8.00	$22.16	$22.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $142.03 / $228.00	Professional		$113.63	$142.03	$228.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $39.89	Facility		$22.16	$22.16	$39.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $80.00	Facility		$22.16	$22.16	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $39.89	Facility		$22.16	$22.16	$39.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $80.00	Facility		$65.00	$65.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00