Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.64 / $1.43	Facility		$0.64	$0.64	$1.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $0.80	Professional		$0.64	$0.64	$0.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.66 / $1.09	Professional		$0.34	$0.66	$1.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $45.57 / $65.14	Facility		$0.68	$45.57	$65.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.63 / $23.91	Professional		$0.55	$0.63	$23.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.64 / $30.50	Facility		$0.33	$0.64	$30.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.64 / $30.50	Facility		$0.33	$0.64	$30.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.90	Professional		$0.66	$0.66	$0.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $55.00 / $85.00	Professional		$2.50	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.64 / $30.50	Facility		$0.33	$0.64	$30.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.16 / $14.16	Professional		$14.16	$14.16	$14.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.76 / $1.10	Professional		$0.36	$0.76	$1.10
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 $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.13	Professional		$0.63	$0.63	$1.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.90	Professional		$0.66	$0.66	$0.90