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 $3.04 / $5.91 / $12.45	Professional		$3.04	$5.91	$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 $0.39 / $0.75 / $6.21	Professional		$0.39	$0.75	$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 $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
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 / $2.38 / $24.74	Professional		$1.76	$2.38	$24.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$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 $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
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 $5.66 / $5.78 / $90.00	Facility		$5.66	$5.78	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $15.40 / $24.74	Professional		$0.75	$15.40	$24.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $7.06	Professional		$6.12	$6.12	$7.06
United Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.85 / $3.43	Professional		$1.30	$1.85	$3.43