Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $4.71	Facility		$2.11	$2.11	$4.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.64	Professional		$2.11	$2.11	$2.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.18	Professional		$2.24	$2.24	$3.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $5.36 / $7.66	Facility		$2.24	$5.36	$7.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.31 / $2.81	Professional		$2.24	$2.31	$2.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Facility		$2.11	$2.11	$2.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Facility		$2.11	$2.11	$2.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.91	Professional		$2.24	$2.24	$2.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Facility		$2.11	$2.11	$2.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.15 / $3.92	Professional		$2.15	$2.15	$3.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.14	Professional		$2.24	$2.24	$3.14