Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Professional		$28.36	$28.36	$28.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $25.00 / $25.00	Professional		$21.25	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $16.55	Facility		$12.60	$12.60	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.98	Professional		$10.71	$10.71	$12.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $51.05	Facility		$28.36	$28.36	$51.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $90.00	Facility		$28.36	$28.36	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $17.66 / $23.51	Professional		$13.25	$17.66	$23.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $55.00 / $85.00	Professional		$26.43	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $51.05	Facility		$28.36	$28.36	$51.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $65.00 / $90.00	Facility		$12.60	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.60 / $12.60	Professional		$10.71	$12.60	$12.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $17.66 / $23.18	Professional		$8.83	$17.66	$23.18