Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $1.77 / $1.77	Facility		$1.77	$1.77	$1.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.77 / $2.57	Professional		$1.70	$1.77	$2.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $6.21 / $12.45	Professional		$3.06	$6.21	$12.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $9.48 / $12.60	Facility		$8.11	$9.48	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $2.47 / $6.21	Professional		$0.40	$2.47	$6.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $2.44 / $5.54	Facility		$1.77	$2.44	$5.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Professional		$2.67	$2.67	$2.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2.44 / $6.00	Facility		$1.70	$2.44	$6.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.29 / $7.92	Professional		$1.76	$2.29	$7.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $58.40 / $85.00	Professional		$10.67	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $2.44 / $6.00	Facility		$1.77	$2.44	$6.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Professional		$2.67	$2.67	$2.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $6.94 / $9.22	Professional		$3.33	$6.94	$9.22
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 $0.20 / $1.30 / $26.50	Professional		$0.20	$1.30	$26.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.76	Professional		$4.13	$4.13	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $1.97 / $3.54	Professional		$1.67	$1.97	$3.54