Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.69 / $1.76	Facility		$0.76	$1.69	$1.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.36	Professional		$0.76	$0.76	$1.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1.89 / $1.96	Facility		$1.63	$1.89	$1.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.08 / $2.34	Professional		$0.68	$1.08	$2.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.79 / $2.54	Facility		$0.88	$1.79	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $1.11 / $1.26	Professional		$0.77	$1.11	$1.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.88 / $1.42	Facility		$0.66	$0.88	$1.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.88 / $1.42	Facility		$0.66	$0.88	$1.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $1.11	Professional		$0.81	$0.81	$1.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $65.00 / $85.00	Professional		$2.36	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.88 / $1.42	Facility		$0.66	$0.88	$1.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.54 / $2.16	Professional		$1.08	$1.54	$2.16
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 $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
United Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $1.05	Professional		$0.81	$0.81	$1.05