Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Facility		$7.50	$7.50	$7.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.59 / $6.53	Professional		$4.40	$4.59	$6.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $4.37 / $4.37	Professional		$0.38	$4.37	$4.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $11.25	Facility		$7.50	$7.50	$11.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $13.50	Facility		$7.50	$7.50	$13.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $11.25	Facility		$7.50	$7.50	$11.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $5,900.00	Professional		$5,900.00	$5,900.00	$5,900.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $9.17	Professional		$7.96	$7.96	$9.17