Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $30.54 / $42.00	Professional		$17.87	$30.54	$42.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $17.96 / $18.05	Professional		$5.00	$17.96	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Facility		$30.54	$30.54	$42.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Facility		$30.54	$30.54	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $508.20	Professional		$50.00	$65.00	$508.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $42.00	Facility		$30.54	$30.54	$42.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94