Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Facility		$1.69	$1.69	$1.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.80	Professional		$1.69	$1.69	$2.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.59 / $3.68	Professional		$2.20	$2.59	$3.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $3.77	Professional		$1.89	$1.89	$3.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $2.93	Facility		$1.69	$1.69	$2.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $2.96	Facility		$1.69	$1.69	$2.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Professional		$5.14	$5.14	$5.14
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 $1.69 / $1.69 / $2.93	Facility		$1.69	$1.69	$2.93
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 $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89