Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.98	Professional		$0.03	$0.03	$0.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.07 / $4.20	Facility		$2.40	$3.07	$4.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $1.41	Professional		$0.03	$0.03	$1.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $58.40 / $85.00	Professional		$0.18	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
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 $0.03 / $0.03 / $5.72	Professional		$0.03	$0.03	$5.72
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04