Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $8.07	Professional		$5.00	$5.00	$8.07
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 $21.03 / $21.03 / $21.03	Professional		$21.03	$21.03	$21.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $14.00	Facility		$10.00	$10.00	$14.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $29.12 / $29.12	Professional		$29.12	$29.12	$29.12
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 $10.00 / $10.00 / $11.00	Facility		$10.00	$10.00	$11.00
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 $21.03 / $29.12 / $29.12	Professional		$21.03	$29.12	$29.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $11.34	Professional		$9.64	$9.64	$11.34