Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.70 / $3.83	Professional		$2.29	$2.70	$3.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $3.52	Professional		$1.76	$1.76	$3.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $6.00	Facility		$4.00	$4.00	$6.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $7.20	Facility		$4.00	$4.00	$7.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $9.26	Professional		$9.26	$9.26	$9.26
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 $4.00 / $4.00 / $6.00	Facility		$4.00	$4.00	$6.00
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 $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76