Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $42.60	Professional		$30.00	$30.00	$42.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $203.99 / $203.99	Professional		$203.99	$203.99	$203.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $23.94	Facility		$17.10	$17.10	$23.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $77.67	Facility		$17.10	$17.10	$77.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $282.45 / $282.45	Professional		$282.45	$282.45	$282.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $191.08	Professional		$50.00	$58.40	$191.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $23.94	Facility		$17.10	$17.10	$23.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $282.45 / $282.45	Professional		$203.99	$282.45	$282.45