Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Facility		$0.90	$0.90	$0.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $5.39	Professional		$0.90	$0.90	$5.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $25.85 / $36.71	Professional		$21.97	$25.85	$36.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $4.09	Facility		$0.90	$0.90	$4.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $0.90 / $6.40	Facility		$0.90	$0.90	$6.40
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 $0.90 / $0.90 / $4.09	Facility		$0.90	$0.90	$4.09
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 $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26