Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $127.80 / $300.00	Professional		$90.00	$127.80	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $382.52	Professional		$191.26	$191.26	$382.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.89	Facility		$1.26	$1.26	$1.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $2.27	Facility		$1.26	$1.26	$2.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $322.91 / $322.91	Professional		$322.91	$322.91	$322.91
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 $1.26 / $1.26 / $1.89	Facility		$1.26	$1.26	$1.89
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 / $100.00 / $748.60	Facility		$65.00	$100.00	$748.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26