Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Facility		$14.05	$14.05	$14.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $14.18	Professional		$14.05	$14.05	$14.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $65.38 / $65.38	Professional		$55.57	$65.38	$65.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $11.07	Professional		$7.85	$10.75	$11.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $25.29	Facility		$14.05	$14.05	$25.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.14 / $90.00	Facility		$14.05	$14.14	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $55.00 / $85.00	Professional		$25.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $25.29	Facility		$14.05	$14.05	$25.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $65.00 / $90.00	Facility		$10.75	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $10.75	Professional		$7.85	$10.75	$10.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90