Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Professional		$14.37	$14.37	$14.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $15.79	Professional		$6.36	$6.36	$15.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $65.00 / $90.97	Facility		$14.21	$65.00	$90.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $21.75 / $27.19	Professional		$12.08	$21.75	$27.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $25.87	Facility		$14.37	$14.37	$25.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $25.87 / $90.00	Facility		$14.37	$25.87	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.42 / $19.19	Professional		$10.54	$14.42	$19.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $25.87	Facility		$14.37	$14.37	$25.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $65.00 / $90.00	Facility		$14.21	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.21 / $14.21	Professional		$12.08	$14.21	$14.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.94 / $18.64	Professional		$8.09	$12.94	$18.64