Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $196.49	Facility		$0.36	$0.36	$196.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.36 / $0.49	Professional		$0.30	$0.36	$0.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.65 / $1.45	Professional		$0.51	$0.65	$1.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $1.38 / $75.47	Professional		$0.36	$1.38	$75.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.37 / $0.55	Facility		$0.30	$0.37	$0.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.37 / $0.71	Facility		$0.30	$0.37	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,795.38 / $5,795.38 / $5,795.38	Professional		$5,795.38	$5,795.38	$5,795.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $164.29	Professional		$50.00	$70.00	$164.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.37 / $0.67	Facility		$0.30	$0.37	$0.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.79 / $1.10	Professional		$0.48	$0.79	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $350.00 / $350.00	Facility		$0.37	$350.00	$350.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $1.70 / $5,795.38	Professional		$0.43	$1.70	$5,795.38