Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $13.40	Facility		$6.01	$6.01	$13.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $9.02	Professional		$6.01	$6.01	$9.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $10.51	Professional		$6.38	$6.38	$10.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $15.19 / $21.71	Facility		$6.38	$15.19	$21.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.57 / $7.97	Professional		$6.38	$6.57	$7.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $9.76	Professional		$7.51	$7.51	$9.76
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 $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $9.76	Professional		$7.51	$7.51	$9.76