Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $22.51 / $30.00	Professional		$15.01	$22.51	$30.00
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 $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $5.32	Facility		$3.80	$3.80	$5.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $7.90	Facility		$3.80	$3.80	$7.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $3.74	Professional		$3.74	$3.74	$3.74
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 $3.80 / $3.80 / $5.32	Facility		$3.80	$3.80	$5.32
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 $2.70 / $3.74 / $3.74	Professional		$2.70	$3.74	$3.74