Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.01 / $662.27	Facility		$0.15	$5.01	$662.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.15 / $0.15	Professional		$0.14	$0.15	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.17 / $0.24	Professional		$0.14	$0.17	$0.24
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 $0.30 / $0.38 / $0.48	Professional		$0.30	$0.38	$0.48
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 / $66.31	Facility		$0.15	$0.15	$66.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $58.40 / $85.00	Professional		$0.80	$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 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.40 / $1.39	Professional		$0.30	$0.40	$1.39
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $5.38	Professional		$0.63	$0.63	$5.38