Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $128.86	Professional		$20.00	$20.00	$128.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $68.00 / $80.98	Professional		$32.40	$68.00	$80.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $9,999.99	Professional		$73.00	$73.00	$9,999.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $128.86	Facility		$20.00	$20.00	$128.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $108.30	Facility		$20.00	$20.00	$108.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $515.64 / $515.64 / $515.64	Professional		$515.64	$515.64	$515.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $113.08	Facility		$20.00	$20.00	$113.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $515.64 / $515.64 / $515.64	Professional		$515.64	$515.64	$515.64