Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $138.69	Facility		$64.80	$64.80	$138.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $70.40	Professional		$64.80	$64.80	$70.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $88.85 / $96.58	Professional		$76.68	$88.85	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $27.79 / $27.79	Professional		$8.68	$27.79	$27.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $81.00	Facility		$64.80	$64.80	$81.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $84.24	Facility		$64.80	$64.80	$84.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $147.05	Professional		$50.00	$65.00	$147.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $81.00	Facility		$64.80	$64.80	$81.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Facility		$132.00	$132.00	$132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79