Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $100.82 / $376.00	Professional		$71.00	$100.82	$376.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $62.47	Professional		$31.24	$31.24	$62.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $7.50	Facility		$5.00	$5.00	$7.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $9.00	Facility		$5.00	$5.00	$9.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.44 / $253.44 / $253.44	Professional		$253.44	$253.44	$253.44
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 $5.00 / $5.00 / $7.50	Facility		$5.00	$5.00	$7.50
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 / $70.15 / $197.12	Facility		$65.00	$70.15	$197.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24