Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $125.00 / $125.00	Professional		$9.61	$125.00	$125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $28.00 / $39.19	Facility		$9.27	$28.00	$39.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.50 / $13.13	Professional		$6.77	$10.50	$13.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $9.41	Facility		$4.54	$4.54	$9.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $9.41 / $90.00	Facility		$4.54	$9.41	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $7.18 / $12.49	Professional		$5.39	$7.18	$12.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $9.41	Facility		$4.54	$4.54	$9.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $70.00 / $90.00	Facility		$9.27	$70.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $9.27	Professional		$6.77	$9.27	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.02 / $11.42	Professional		$5.01	$7.02	$11.42