Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Facility		$2.54	$2.54	$2.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.54 / $3.71	Professional		$2.46	$2.54	$3.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $8.65 / $17.98	Professional		$4.21	$8.65	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.69 / $18.19	Facility		$11.71	$13.69	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.19 / $8.98	Professional		$3.57	$6.19	$8.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.53 / $7.61	Facility		$2.54	$3.53	$7.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $3.53 / $8.64	Facility		$2.46	$3.53	$8.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.44 / $33.57	Professional		$2.54	$3.44	$33.57
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 $2.54 / $3.53 / $7.61	Facility		$2.54	$3.53	$7.61
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $10.02 / $13.31	Professional		$4.80	$10.02	$13.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $8.36 / $90.00	Facility		$8.16	$8.36	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $22.25 / $33.57	Professional		$3.57	$22.25	$33.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.67 / $4.55	Professional		$1.78	$2.67	$4.55