Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $31.62 / $43.92	Professional		$1.39	$31.62	$43.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $14.40	Professional		$14.40	$14.40	$14.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $100.00	Facility		$50.00	$50.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
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