Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.23 / $0.33	Professional		$0.20	$0.23	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.48 / $3.00	Professional		$0.38	$0.48	$3.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $3.75	Facility		$2.50	$2.50	$3.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $4.50	Facility		$2.50	$2.50	$4.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $23.16	Professional		$1.21	$1.21	$23.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $3.75	Facility		$2.50	$2.50	$3.75
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 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.59	Professional		$1.38	$1.38	$1.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16