Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $30.00	Professional		$25.50	$25.50	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $4.88	Professional		$1.18	$1.18	$4.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.19	Facility		$0.12	$0.12	$0.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.25	Facility		$0.12	$0.12	$0.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.19	Facility		$0.12	$0.12	$0.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Facility		$65.00	$65.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.77 / $6.77	Professional		$4.88	$6.77	$6.77