Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $13.25	Facility		$5.94	$5.94	$13.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $7.42	Professional		$5.94	$5.94	$7.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.53 / $16.34	Professional		$4.51	$7.53	$16.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $12.51 / $17.88	Facility		$4.76	$12.51	$17.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.78 / $8.84	Professional		$5.25	$7.78	$8.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.54 / $9.98	Facility		$4.63	$5.54	$9.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.54 / $9.98	Facility		$4.63	$5.54	$9.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.19	Professional		$4.76	$4.76	$6.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $55.00 / $85.00	Professional		$16.59	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $5.54 / $9.98	Facility		$4.63	$5.54	$9.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.80 / $15.15	Professional		$7.56	$10.80	$15.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $6.19	Professional		$4.76	$4.76	$6.19