Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $4.73	Facility		$2.12	$2.12	$4.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.65	Professional		$2.12	$2.12	$2.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.30 / $9.33	Professional		$2.65	$4.30	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $6.25 / $8.94	Facility		$2.65	$6.25	$8.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $4.46 / $5.05	Professional		$2.65	$4.46	$5.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.65 / $5.70	Facility		$2.12	$2.65	$5.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $3.98	Professional		$1.87	$1.87	$3.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.65 / $5.70	Facility		$2.12	$2.65	$5.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.63	Professional		$2.65	$2.65	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $55.00 / $85.00	Professional		$9.47	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.65 / $5.70	Facility		$2.12	$2.65	$5.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $3.98	Professional		$1.87	$1.87	$3.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.17 / $8.65	Professional		$4.32	$6.17	$8.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $872.10 / $872.10 / $872.10	Facility		$872.10	$872.10	$872.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.45	Professional		$2.65	$2.65	$3.45