Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $4.00	Professional		$3.20	$3.20	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $405.00	Professional		$3.00	$3.00	$405.00
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 $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $6.58	Facility		$3.20	$3.20	$6.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $6.66	Facility		$3.20	$3.20	$6.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
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 $3.20 / $3.20 / $5.40	Facility		$3.20	$3.20	$5.40
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 $6.50 / $9.00 / $9.00	Professional		$6.50	$9.00	$9.00