Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $6.56	Professional		$4.40	$4.40	$6.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.75 / $2.00	Professional		$1.55	$1.75	$2.00
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 $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $7.32	Facility		$4.40	$4.40	$7.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $9.15	Facility		$4.40	$4.40	$9.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
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 $4.40 / $4.40 / $7.22	Facility		$4.40	$4.40	$7.22
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 $1.51 / $2.09 / $2.09	Professional		$1.51	$2.09	$2.09