Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Facility		$32.00	$32.00	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.54 / $9.28	Professional		$5.56	$6.54	$9.28
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 / $17.20 / $17.20	Professional		$0.38	$17.20	$17.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $48.00	Facility		$32.00	$32.00	$48.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $57.60	Facility		$32.00	$32.00	$57.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $67.48 / $67.48	Professional		$67.48	$67.48	$67.48
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 $32.00 / $32.00 / $48.00	Facility		$32.00	$32.00	$48.00
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 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $2.74 / $3.16	Professional		$2.74	$2.74	$3.16