Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $35.75	Facility		$16.03	$16.03	$35.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $20.04	Professional		$16.03	$16.03	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $24.13	Professional		$17.03	$17.03	$24.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $36.63 / $52.37	Facility		$16.98	$36.63	$52.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.84 / $19.22	Professional		$15.38	$15.84	$19.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $26.05	Professional		$20.04	$20.04	$26.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $27.44	Professional		$20.04	$20.04	$27.44