Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $5.63 / $12.55	Facility		$5.63	$5.63	$12.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $7.04	Professional		$5.63	$5.63	$7.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.98 / $12.83	Professional		$3.73	$5.98	$12.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.19 / $21.71	Facility		$6.17	$15.19	$21.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.57 / $7.97	Professional		$6.12	$6.57	$7.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.63 / $6.17	Facility		$3.64	$5.63	$6.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $9.26	Professional		$3.47	$3.47	$9.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.63 / $6.17	Facility		$3.64	$5.63	$6.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $16.30	Professional		$12.20	$13.58	$16.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $65.00 / $85.00	Professional		$29.66	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.63 / $6.17	Facility		$3.64	$5.63	$6.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $9.26	Professional		$3.47	$3.47	$9.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $8.48 / $11.90	Professional		$5.94	$8.48	$11.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $6.65 / $12.15	Professional		$6.65	$6.65	$12.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $17.95	Professional		$12.20	$13.58	$17.95