Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $2.45	Facility		$1.10	$1.10	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.38	Professional		$1.10	$1.10	$1.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.17	Professional		$1.14	$1.14	$1.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.38 / $1.38	Facility		$1.10	$1.38	$1.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.38 / $1.38	Facility		$1.10	$1.38	$1.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.73	Professional		$1.14	$1.14	$1.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $50.00 / $85.00	Professional		$3.78	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.38 / $1.38	Facility		$1.10	$1.38	$1.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.73	Professional		$1.14	$1.14	$1.73