Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $25.91	Facility		$11.62	$11.62	$25.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $14.52	Professional		$11.62	$11.62	$14.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $25.22 / $26.16	Facility		$21.70	$25.22	$26.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.34	Professional		$12.10	$12.10	$12.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $15.13 / $39.42	Facility		$12.10	$15.13	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $13.01 / $14.79	Professional		$11.97	$13.01	$14.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $15.73	Professional		$12.10	$12.10	$15.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $50.00 / $85.00	Professional		$37.21	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $14.52 / $14.52	Facility		$11.62	$14.52	$14.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $16.57	Professional		$12.10	$12.10	$16.57