Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.00 / $14.20	Professional		$1.00	$10.00	$14.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $4.95	Professional		$1.33	$1.33	$4.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $6.00	Facility		$4.00	$4.00	$6.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $6.12	Facility		$4.00	$4.00	$6.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $81.98 / $81.98	Professional		$81.98	$81.98	$81.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $132.24	Professional		$50.00	$58.40	$132.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $6.00	Facility		$4.00	$4.00	$6.00
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
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.33 / $1.33	Professional		$1.33	$1.33	$1.33