Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $2.39	Facility		$1.07	$1.07	$2.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.34	Professional		$1.07	$1.07	$1.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.61 / $3.50	Professional		$1.02	$1.61	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $2.68 / $3.83	Facility		$1.13	$2.68	$3.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.67 / $1.90	Professional		$1.13	$1.67	$1.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.12 / $2.13	Facility		$0.99	$1.12	$2.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.12 / $2.13	Facility		$0.99	$1.12	$2.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.50	Professional		$1.14	$1.14	$1.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $55.00 / $85.00	Professional		$3.56	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.12 / $2.13	Facility		$0.99	$1.12	$2.13
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.31 / $3.25	Professional		$1.62	$2.31	$3.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Facility		$95.00	$95.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Professional		$1.13	$1.13	$1.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.50	Professional		$1.14	$1.14	$1.50