Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $10.46	Facility		$4.69	$4.69	$10.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.86	Professional		$4.69	$4.69	$5.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $4.98 / $6.66	Professional		$4.98	$4.98	$6.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $12.51 / $17.88	Facility		$4.68	$12.51	$17.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.41 / $6.56	Professional		$4.68	$5.41	$6.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $7.62	Professional		$5.86	$5.86	$7.62
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 $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $95.00	Facility		$4.68	$4.68	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $8.02	Professional		$5.86	$5.86	$8.02