Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $33.22	Facility		$14.90	$14.90	$33.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $15.45 / $18.62	Professional		$14.90	$15.45	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.83 / $19.98	Professional		$15.83	$15.83	$19.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $40.54 / $57.47	Facility		$22.17	$40.54	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $17.38 / $21.09	Professional		$16.88	$17.38	$21.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.62 / $18.63	Facility		$14.90	$18.62	$18.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.63 / $90.00	Facility		$14.90	$18.63	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $18.50 / $24.05	Professional		$13.88	$18.50	$24.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $55.00 / $85.00	Professional		$46.28	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.62 / $18.63	Facility		$14.90	$18.62	$18.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $85.00 / $90.00	Facility		$70.00	$85.00	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.30 / $23.70	Professional		$14.71	$17.30	$23.70