Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Facility		$1.13	$1.13	$1.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Professional		$1.13	$1.13	$1.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.87 / $3.20	Professional		$1.60	$1.87	$3.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $6.32 / $9.69	Facility		$5.41	$6.32	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.31 / $2.81	Professional		$1.74	$2.31	$2.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $3.24 / $3.24	Facility		$1.13	$3.24	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $3.24 / $100.00	Facility		$1.13	$3.24	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $2.16	Professional		$2.16	$2.16	$2.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $9.61 / $90.00	Professional		$1.65	$9.61	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.04 / $3.24	Facility		$1.12	$2.04	$3.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $100.00	Facility		$65.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Security Health Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $2.38	Professional		$2.16	$2.16	$2.38