Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $52.45	Facility		$23.52	$23.52	$52.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $29.40	Professional		$23.52	$23.52	$29.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $34.79	Professional		$24.99	$24.99	$34.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $60.76 / $86.85	Facility		$24.50	$60.76	$86.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $26.27 / $31.88	Professional		$24.50	$26.27	$31.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $23.52	Facility		$23.52	$23.52	$23.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $8.82	Professional		$8.82	$8.82	$8.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $23.52	Facility		$23.52	$23.52	$23.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $38.22	Professional		$29.40	$29.40	$38.22
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 $23.52 / $23.52 / $23.52	Facility		$23.52	$23.52	$23.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $8.82	Professional		$8.82	$8.82	$8.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $38.22	Professional		$29.40	$29.40	$38.22