Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $72.42	Professional		$25.12	$25.12	$72.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $74.77 / $114.69	Facility		$63.98	$74.77	$114.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $27.42 / $33.28	Professional		$26.63	$27.42	$33.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $24.96	Facility		$11.34	$11.34	$24.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $19.78	Professional		$19.78	$19.78	$19.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $24.96	Facility		$11.34	$11.34	$24.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $44.46 / $91.80	Professional		$28.22	$44.46	$91.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $282.85	Professional		$50.00	$65.00	$282.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $24.96	Facility		$11.34	$11.34	$24.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $19.78	Professional		$19.78	$19.78	$19.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $229.35 / $229.35	Facility		$229.35	$229.35	$229.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $51.05 / $92.48	Professional		$28.22	$51.05	$92.48