Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $189.00 / $189.00	Professional		$160.65	$189.00	$189.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $24.43	Professional		$17.32	$23.72	$24.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $35.22	Facility		$19.57	$19.57	$35.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.64 / $90.00	Facility		$19.57	$19.64	$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 $21.17 / $55.00 / $85.00	Professional		$21.17	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $35.22	Facility		$19.57	$19.57	$35.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $65.00 / $90.00	Facility		$23.72	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.72 / $23.72	Professional		$17.32	$23.72	$23.72
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90