Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $40.47	Facility		$40.47	$40.47	$40.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $40.86 / $88.40	Professional		$36.34	$40.86	$88.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $35.28 / $52.21	Professional		$35.28	$35.28	$52.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $70.62 / $80.25	Professional		$48.75	$70.62	$80.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $42.13 / $72.84	Facility		$39.29	$42.13	$72.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $46.34 / $76.00	Facility		$40.47	$46.34	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $55.00 / $101.39	Professional		$42.13	$55.00	$101.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $42.13 / $72.84	Facility		$39.29	$42.13	$72.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $76.00	Facility		$65.00	$65.00	$76.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $14.86	Professional		$14.86	$14.86	$14.86