Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.55	Professional		$0.39	$0.39	$0.55
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 $0.17 / $0.34 / $0.47	Professional		$0.17	$0.34	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.27	Facility		$0.15	$0.15	$0.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.36	Professional		$0.20	$0.22	$0.36
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 $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
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 $0.17 / $0.17 / $0.17	Professional		$0.17	$0.17	$0.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.20 / $0.35	Professional		$0.18	$0.20	$0.35