Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.18 / $3.01	Facility		$1.18	$1.18	$3.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.18 / $1.75	Professional		$1.01	$1.18	$1.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $4.13 / $8.31	Professional		$2.04	$4.13	$8.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $6.32 / $8.40	Facility		$5.41	$6.32	$8.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.13 / $7.50	Professional		$3.63	$4.13	$7.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.63 / $4.00	Facility		$1.18	$1.63	$4.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.63 / $4.00	Facility		$1.13	$1.63	$4.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.53 / $4.59	Professional		$1.18	$1.53	$4.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $58.40 / $85.00	Professional		$12.56	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.63 / $4.00	Facility		$1.18	$1.63	$4.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.96 / $4.75	Professional		$2.16	$3.96	$4.75
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 $2.90 / $4.00 / $15.90	Professional		$2.90	$4.00	$15.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.85	Professional		$1.61	$1.61	$1.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.30 / $2.36	Professional		$1.08	$1.30	$2.36