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 $125.00 / $168.00 / $177.50	Professional		$125.00	$168.00	$177.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $392.96	Professional		$196.48	$196.48	$392.96
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 $280.02 / $280.02 / $280.02	Professional		$280.02	$280.02	$280.02
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 / $748.30	Facility		$65.00	$100.00	$748.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48