Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.04 / $4.75	Professional		$2.86	$4.04	$4.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.98 / $1.39	Professional		$0.83	$0.98	$1.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $41.99	Facility		$27.03	$31.59	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $5.95 / $12.66	Professional		$2.98	$5.95	$12.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $6.15	Facility		$4.04	$4.04	$6.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $4.04 / $6.18	Facility		$2.86	$4.04	$6.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
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 $4.04 / $4.04 / $6.15	Facility		$4.04	$4.04	$6.15
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 $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98