Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Facility		$0.39	$0.39	$0.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.39 / $0.56	Professional		$0.38	$0.39	$0.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $1.29 / $2.76	Professional		$0.64	$1.29	$2.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.11 / $2.80	Facility		$1.80	$2.11	$2.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.95 / $1.36	Professional		$0.77	$0.95	$1.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.54 / $1.33	Facility		$0.39	$0.54	$1.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.54 / $1.38	Facility		$0.39	$0.54	$1.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.51 / $1.67	Professional		$0.39	$0.51	$1.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $58.40 / $85.00	Professional		$2.36	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.54 / $1.33	Facility		$0.39	$0.54	$1.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $1.31 / $1.58	Professional		$0.72	$1.31	$1.58
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 $0.74 / $0.80 / $7.07	Professional		$0.74	$0.80	$7.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.58 / $2.10	Professional		$1.37	$1.58	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.41 / $0.72	Professional		$0.36	$0.41	$0.72