Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $121.85	Facility		$0.03	$0.07	$121.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.55 / $9.30	Professional		$5.24	$6.55	$9.30
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 $0.38 / $20.03 / $20.03	Professional		$0.38	$20.03	$20.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Facility		$0.03	$0.03	$0.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Facility		$0.03	$0.03	$0.05
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 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Facility		$0.03	$0.03	$0.05
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 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $8.82	Professional		$7.65	$7.65	$8.82