Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Facility		$0.20	$0.20	$0.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.20 / $0.28	Professional		$0.19	$0.20	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.65 / $1.40	Professional		$0.32	$0.65	$1.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.05 / $1.40	Facility		$0.90	$1.05	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.61 / $5.16	Professional		$0.27	$0.61	$5.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.26 / $10.28	Professional		$0.20	$0.26	$10.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $58.40 / $85.00	Professional		$0.54	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.27 / $0.67	Facility		$0.20	$0.27	$0.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.77 / $1.02	Professional		$0.37	$0.77	$1.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $7.38 / $90.00	Facility		$0.63	$7.38	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $1.70 / $10.28	Professional		$0.27	$1.70	$10.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.20 / $0.35	Professional		$0.18	$0.20	$0.35