Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $6.82	Professional		$4.87	$4.87	$6.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $9.83 / $14.05	Facility		$4.87	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.25 / $5.16	Professional		$4.13	$4.25	$5.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.45	Professional		$5.73	$5.73	$7.45
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 $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $455.75 / $455.75 / $455.75	Facility		$455.75	$455.75	$455.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.85	Professional		$5.73	$5.73	$7.85