Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.40 / $1.47	Facility		$0.66	$1.40	$1.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $1.89	Professional		$0.66	$0.66	$1.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.55 / $1.61	Facility		$1.33	$1.55	$1.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $1.60	Professional		$0.68	$0.68	$1.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.70 / $2.43	Facility		$0.70	$1.70	$2.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $1.09 / $1.24	Professional		$0.71	$1.09	$1.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.72 / $0.72	Facility		$0.66	$0.72	$0.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.72 / $0.72	Facility		$0.66	$0.72	$0.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.93	Professional		$0.68	$0.68	$0.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Professional		$65.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.72 / $0.72	Facility		$0.66	$0.72	$0.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.70	Professional		$0.70	$0.70	$0.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
United Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.88	Professional		$0.68	$0.68	$0.88