Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.20 / $0.28	Professional		$0.15	$0.20	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.64 / $1.40	Professional		$0.32	$0.64	$1.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.47 / $0.69	Professional		$0.15	$0.47	$0.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.26 / $0.56	Professional		$0.20	$0.26	$0.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $58.40 / $85.00	Professional		$0.69	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.66 / $0.79	Professional		$0.36	$0.66	$0.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.41 / $3.54	Professional		$0.15	$0.41	$3.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.31	Professional		$0.27	$0.27	$0.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.21 / $0.35	Professional		$0.18	$0.21	$0.35