Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $12.52	Professional		$10.68	$10.68	$12.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.66 / $19.48	Professional		$10.68	$11.66	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $44.79	Facility		$28.84	$33.70	$44.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $15.24	Professional		$7.87	$7.87	$15.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.68 / $16.02	Facility		$10.52	$10.68	$16.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.68 / $19.22	Facility		$10.52	$10.68	$19.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $17.21	Professional		$12.57	$12.57	$17.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $58.40 / $85.00	Professional		$11.66	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $10.68 / $13.15	Facility		$10.52	$10.68	$13.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $429.78	Professional		$7.87	$7.87	$429.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $15.08	Professional		$12.57	$12.57	$15.08