Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Professional		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $53.24 / $66.55	Professional		$27.69	$53.24	$66.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.30 / $18.00	Facility		$10.00	$10.30	$18.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $90.00 / $90.00	Facility		$10.00	$90.00	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $85.00	Professional		$50.00	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.30 / $18.00	Facility		$10.00	$10.30	$18.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $90.00	Facility		$46.19	$46.19	$90.00