Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.59	Professional		$0.39	$0.39	$0.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.05 / $1.70	Facility		$0.89	$1.05	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.43 / $0.49	Professional		$0.17	$0.43	$0.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.23	Facility		$0.15	$0.15	$0.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.85 / $1.17	Professional		$0.38	$0.85	$1.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $100.00	Facility		$0.15	$0.15	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.21 / $0.35	Professional		$0.20	$0.21	$0.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$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 $0.14 / $0.20 / $0.35	Professional		$0.14	$0.20	$0.35