Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $23.19	Facility		$10.40	$10.40	$23.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $13.00	Professional		$10.40	$10.40	$13.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $18.03	Professional		$11.05	$11.05	$18.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $24.12 / $34.47	Facility		$11.05	$24.12	$34.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.43 / $12.66	Professional		$10.13	$10.43	$12.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.89	Professional		$13.00	$13.00	$16.89
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 $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.89	Professional		$13.00	$13.00	$16.89