Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $7.18	Facility		$3.22	$3.22	$7.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.03	Professional		$3.22	$3.22	$4.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.43	Professional		$3.36	$3.36	$3.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $6.25 / $8.94	Facility		$3.43	$6.25	$8.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.70 / $3.43	Professional		$2.63	$2.70	$3.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.03 / $4.03	Facility		$3.22	$4.03	$4.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.03 / $4.03	Facility		$3.22	$4.03	$4.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $4.37	Professional		$3.36	$3.36	$4.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $50.00 / $85.00	Professional		$8.60	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.03 / $4.03	Facility		$3.22	$4.03	$4.03
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 $3.43 / $3.43 / $3.43	Professional		$3.43	$3.43	$3.43
United Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $7.06	Professional		$3.36	$3.36	$7.06