Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $10.17	Facility		$4.55	$4.55	$10.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $5.70	Professional		$4.55	$4.55	$5.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $7.44	Professional		$5.24	$5.24	$7.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $13.40 / $19.16	Facility		$5.24	$13.40	$19.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.79 / $7.03	Professional		$5.24	$5.79	$7.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $5.20	Facility		$4.55	$4.55	$5.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $5.20	Facility		$4.55	$4.55	$5.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $6.81	Professional		$5.24	$5.24	$6.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $55.00 / $85.00	Professional		$19.05	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $5.20	Facility		$4.55	$4.55	$5.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $7.17	Professional		$5.24	$5.24	$7.17