Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $51.56	Facility		$0.15	$0.15	$51.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.26	Professional		$0.18	$0.18	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.56	Professional		$0.28	$0.28	$0.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.27	Facility		$0.15	$0.15	$0.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.61 / $0.61 / $1.46	Professional		$0.61	$0.61	$1.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $58.40 / $85.00	Professional		$0.69	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28