Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $3.83 / $4.50	Professional		$3.83	$3.83	$4.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $18.00 / $25.19	Facility		$4.12	$18.00	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.00 / $7.50	Professional		$3.50	$6.00	$7.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $6.47 / $9.00	Facility		$5.00	$6.47	$9.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $273.83 / $273.83	Facility		$5.00	$273.83	$273.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $4.41 / $8.66	Professional		$0.34	$4.41	$8.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $55.00 / $85.00	Professional		$2.38	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $6.47 / $9.00	Facility		$5.00	$6.47	$9.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $273.83 / $273.83	Facility		$4.12	$273.83	$273.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.12 / $4.12	Professional		$3.50	$4.12	$4.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $4.41 / $6.88	Professional		$0.34	$4.41	$6.88