Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $10.00	Professional		$4.88	$4.88	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $5.29	Professional		$1.00	$1.00	$5.29
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 $5.56 / $891.60 / $891.60	Professional		$5.56	$891.60	$891.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $11.83	Facility		$4.88	$4.88	$11.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $12.01	Facility		$4.88	$4.88	$12.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
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 $4.88 / $4.88 / $11.83	Facility		$4.88	$4.88	$11.83
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 $5.56 / $7.70 / $7.70	Professional		$5.56	$7.70	$7.70