Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $19.27 / $19.27	Facility		$19.27	$19.27	$19.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $19.27 / $19.27	Professional		$9.00	$19.27	$19.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $141.00 / $176.25	Professional		$68.79	$141.00	$176.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $19.27 / $34.69	Facility		$19.27	$19.27	$34.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $19.27 / $80.00	Facility		$19.27	$19.27	$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 $19.27 / $19.27 / $34.69	Facility		$19.27	$19.27	$34.69
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 $68.79 / $68.79 / $68.79	Professional		$68.79	$68.79	$68.79