Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Facility		$1.96	$1.96	$1.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.96 / $2.86	Professional		$1.89	$1.96	$2.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $7.57 / $15.55	Professional		$3.39	$7.57	$15.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $51.78	Facility		$33.34	$38.96	$51.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $6.07 / $30.94	Professional		$2.12	$6.07	$30.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2.92 / $7.42	Facility		$1.96	$2.92	$7.42
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 $1.96 / $2.83 / $20.84	Facility		$1.96	$2.83	$20.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.65 / $28.27	Professional		$1.96	$2.65	$28.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $58.40 / $85.00	Professional		$11.87	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $2.92 / $7.42	Facility		$1.96	$2.92	$7.42
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 $3.70 / $7.71 / $10.24	Professional		$3.70	$7.71	$10.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $8.92 / $90.00	Facility		$6.29	$8.92	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $17.10 / $28.27	Professional		$2.12	$17.10	$28.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $9.69	Professional		$8.42	$8.42	$9.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.15 / $3.97	Professional		$1.81	$2.15	$3.97