Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Facility		$5.14	$5.14	$5.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.14 / $5.14	Professional		$4.40	$5.14	$5.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.00	Professional		$10.00	$10.00	$15.00
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 $4.18 / $4.18 / $4.18	Professional		$4.18	$4.18	$4.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.14 / $5.64	Facility		$4.40	$5.14	$5.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.14 / $5.94	Facility		$4.40	$5.14	$5.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $5.79	Professional		$5.79	$5.79	$5.79
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 $5.14 / $5.14 / $5.64	Facility		$5.14	$5.14	$5.64
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 $4.18 / $5.79 / $5.79	Professional		$4.18	$5.79	$5.79