Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Professional		$5.45	$5.45	$5.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.34 / $2.00	Professional		$0.68	$1.34	$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 $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $7.63	Facility		$5.45	$5.45	$7.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $11.34	Facility		$5.45	$5.45	$11.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $6.06	Professional		$6.06	$6.06	$6.06
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 $5.45 / $5.45 / $7.63	Facility		$5.45	$5.45	$7.63
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 $4.37 / $6.06 / $6.06	Professional		$4.37	$6.06	$6.06