Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.66 / $15.20	Professional		$10.21	$14.66	$15.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.75 / $30.00	Professional		$14.78	$16.75	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $20.07 / $25.24	Professional		$8.38	$20.07	$25.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $19.05	Facility		$14.66	$14.66	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $19.05	Facility		$14.66	$14.66	$19.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $45.00 / $138.01	Professional		$15.00	$45.00	$138.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $20.23 / $58.40	Professional		$13.23	$20.23	$58.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $19.05	Facility		$14.66	$14.66	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $45.00 / $138.01	Professional		$15.00	$45.00	$138.01