Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $1.65	Facility		$0.74	$0.74	$1.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $0.92	Professional		$0.74	$0.74	$0.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.64 / $1.15	Professional		$0.34	$0.64	$1.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.79 / $2.54	Facility		$0.80	$1.79	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.63 / $0.94	Professional		$0.55	$0.63	$0.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.40 / $0.74	Facility		$0.33	$0.40	$0.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.40 / $0.74	Facility		$0.33	$0.40	$0.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.04	Professional		$0.80	$0.80	$1.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $55.00 / $85.00	Professional		$1.20	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.40 / $0.74	Facility		$0.33	$0.40	$0.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.54 / $0.54	Professional		$0.54	$0.54	$0.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.77 / $1.08	Professional		$0.54	$0.77	$1.08
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 $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.04 / $0.04	Professional		$0.03	$0.04	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.10	Professional		$0.80	$0.80	$1.10