Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $29.21	Facility		$13.10	$13.10	$29.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $23.35	Professional		$13.10	$13.10	$23.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.91	Professional		$13.64	$13.64	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $36.63 / $52.37	Facility		$13.91	$36.63	$52.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.84 / $19.22	Professional		$13.91	$15.84	$19.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $16.37 / $16.37	Facility		$13.10	$16.37	$16.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $16.37 / $16.37	Facility		$13.10	$16.37	$16.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $17.73	Professional		$13.64	$13.64	$17.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $16.37 / $16.37	Facility		$13.10	$16.37	$16.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $90.90	Facility		$13.91	$13.91	$90.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $17.73	Professional		$13.64	$13.64	$17.73