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 $4.51 / $4.83 / $35.00	Professional		$4.51	$4.83	$35.00
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 $22.47 / $22.47 / $22.47	Professional		$22.47	$22.47	$22.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.58	Facility		$5.00	$5.00	$5.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Professional		$31.11	$31.11	$31.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $79.86	Professional		$50.00	$60.00	$79.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.50	Facility		$5.00	$5.00	$5.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $31.11 / $31.11	Professional		$22.47	$31.11	$31.11