Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $8.81 / $13.01	Professional		$8.81	$8.81	$13.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $22.34 / $31.93	Facility		$9.16	$22.34	$31.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.66 / $11.72	Professional		$9.16	$9.66	$11.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $10.36 / $10.36	Facility		$8.67	$10.36	$10.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Professional		$6.42	$6.42	$6.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $10.36 / $10.36	Facility		$8.67	$10.36	$10.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $13.47	Professional		$10.36	$10.36	$13.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $10.36 / $10.36	Facility		$8.67	$10.36	$10.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Professional		$6.42	$6.42	$6.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $9.16 / $139.19	Facility		$9.16	$9.16	$139.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $14.18	Professional		$10.36	$10.36	$14.18