Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $28.90	Facility		$12.96	$12.96	$28.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $16.20	Professional		$12.96	$12.96	$16.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $18.86 / $127.50	Professional		$13.25	$18.86	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $20.14 / $36.86	Facility		$13.25	$20.14	$36.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $17.14	Professional		$13.25	$13.25	$17.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $19.44	Facility		$12.96	$12.96	$19.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $22.03	Facility		$12.96	$12.96	$22.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $17.23	Professional		$13.25	$13.25	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $58.40 / $85.00	Professional		$24.07	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $12.96 / $19.44	Facility		$12.96	$12.96	$19.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $16.20	Professional		$13.25	$13.25	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $18.14	Professional		$13.25	$13.25	$18.14