Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Professional		$1.75	$1.75	$1.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.40	Professional		$0.28	$0.31	$0.40
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 $0.20 / $0.38 / $0.47	Professional		$0.20	$0.38	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.63	Facility		$1.75	$1.75	$2.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.68	Facility		$1.75	$1.75	$2.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $58.40 / $85.00	Professional		$5.45	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $2.63	Facility		$1.75	$1.75	$2.63
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 $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.38	Professional		$2.06	$2.06	$2.38