Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $27.67	Professional		$26.86	$26.86	$27.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $74.63 / $147.00	Facility		$65.67	$74.63	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $30.75 / $38.44	Professional		$7.65	$30.75	$38.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $45.00	Facility		$25.00	$25.00	$45.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $90.00 / $90.00	Facility		$25.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $38.52 / $43.87	Professional		$38.52	$38.52	$43.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $55.00 / $85.00	Professional		$22.72	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $45.00	Facility		$25.00	$25.00	$45.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Professional		$7.65	$7.65	$7.65
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87