Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Facility		$3.53	$3.53	$3.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.53 / $5.26	Professional		$2.91	$3.53	$5.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $12.00 / $24.91	Professional		$6.11	$12.00	$24.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.95 / $25.19	Facility		$16.22	$18.95	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.92 / $17.00	Professional		$6.95	$10.92	$17.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $4.88 / $11.98	Facility		$3.53	$4.88	$11.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $4.88 / $11.98	Facility		$3.41	$4.88	$11.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.76 / $49.47	Professional		$3.53	$4.76	$49.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $4.88 / $11.98	Facility		$3.53	$4.88	$11.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Professional		$5.08	$5.08	$5.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $13.88 / $18.44	Professional		$6.66	$13.88	$18.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $11.56 / $90.00	Facility		$11.31	$11.56	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $30.80 / $49.47	Professional		$17.00	$30.80	$49.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $11.47	Professional		$9.94	$9.94	$11.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.71 / $6.66	Professional		$3.25	$3.71	$6.66