Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Professional		$17.66	$17.66	$48.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $252.45	Professional		$76.00	$76.00	$252.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $143.53 / $152.82	Professional		$19.50	$143.53	$152.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $31.79	Facility		$17.66	$17.66	$31.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $31.79 / $90.90	Facility		$17.66	$31.79	$90.90
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 $17.66 / $17.66 / $31.79	Facility		$17.66	$17.66	$31.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $87.40 / $90.90	Facility		$87.40	$87.40	$90.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50