Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $32.65	Professional		$23.00	$23.00	$32.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $17.00	Professional		$8.50	$8.50	$17.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $4.50	Facility		$3.00	$3.00	$4.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $5.40	Facility		$3.00	$3.00	$5.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $45.07 / $45.07	Professional		$45.07	$45.07	$45.07
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 $3.00 / $3.00 / $4.50	Facility		$3.00	$3.00	$4.50
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 $8.50 / $8.50 / $8.50	Professional		$8.50	$8.50	$8.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $25.49	Professional		$22.11	$22.11	$25.49