Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $10.03	Facility		$4.50	$4.50	$10.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $5.62	Professional		$4.50	$4.50	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $6.38	Professional		$4.78	$4.78	$6.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $11.62 / $16.60	Facility		$4.49	$11.62	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $5.01 / $6.09	Professional		$4.49	$5.01	$6.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Facility		$4.50	$4.50	$4.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Facility		$4.50	$4.50	$4.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $7.31	Professional		$5.62	$5.62	$7.31
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 $4.50 / $4.50 / $4.50	Facility		$4.50	$4.50	$4.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $7.69	Professional		$5.62	$5.62	$7.69