Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $3.96 / $8.83	Facility		$3.96	$3.96	$8.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $4.95	Professional		$3.96	$3.96	$4.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.21	Professional		$4.13	$4.13	$4.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $4.21	Professional		$0.06	$0.06	$4.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.95 / $4.95	Facility		$3.96	$4.95	$4.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.95 / $4.95	Facility		$3.96	$4.95	$4.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.37	Professional		$4.13	$4.13	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $55.00 / $85.00	Professional		$11.87	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.95 / $4.95	Facility		$3.96	$4.95	$4.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.65	Professional		$4.13	$4.13	$5.65