Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $28.38 / $63.29	Facility		$28.38	$28.38	$63.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $28.38 / $35.47	Professional		$28.38	$28.38	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $30.16 / $42.71	Professional		$30.16	$30.16	$42.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $74.16 / $106.01	Facility		$30.08	$74.16	$106.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $32.06 / $38.90	Professional		$30.08	$32.06	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $28.38 / $28.38	Facility		$28.38	$28.38	$28.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $28.38 / $28.38	Facility		$28.38	$28.38	$28.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $39.10	Professional		$30.08	$30.08	$39.10
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 $28.38 / $28.38 / $28.38	Facility		$28.38	$28.38	$28.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $41.19	Professional		$30.08	$30.08	$41.19