Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $32.97 / $38.47	Professional		$31.39	$32.97	$38.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $29.18 / $36.59	Professional		$27.78	$29.18	$36.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $109.52 / $168.00	Facility		$93.72	$109.52	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $51.91 / $68.61	Professional		$40.88	$51.91	$68.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $34.31 / $48.03	Facility		$30.44	$34.31	$48.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $34.31 / $48.03	Facility		$30.65	$34.31	$48.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $34.31 / $48.03	Facility		$30.65	$34.31	$48.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $34.31	Professional		$34.31	$34.31	$34.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90