Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.55	Professional		$2.29	$2.29	$3.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $6.17	Facility		$3.98	$3.98	$6.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $26.92 / $37.15	Professional		$4.90	$26.92	$37.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $100.00	Facility		$3.98	$3.98	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
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 $1.78 / $1.78 / $1.78	Professional		$1.78	$1.78	$1.78