Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $24.55	Professional		$17.38	$17.38	$24.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $30.20	Facility		$19.50	$19.50	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $48.98	Facility		$19.50	$19.50	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $70.79	Professional		$26.30	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $100.00	Facility		$23.99	$23.99	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $23.99	Professional		$17.38	$17.38	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29