Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.16 / $0.36	Facility		$0.16	$0.16	$0.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.20	Professional		$0.16	$0.16	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.54 / $1.15	Professional		$0.32	$0.54	$1.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.89 / $1.28	Facility		$0.24	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.55 / $0.63	Professional		$0.37	$0.55	$0.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.37 / $0.71	Facility		$0.16	$0.37	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.37 / $0.71	Facility		$0.16	$0.37	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Professional		$0.05	$0.05	$0.07
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 $0.16 / $0.37 / $0.71	Facility		$0.16	$0.37	$0.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
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 $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.72 / $1.04	Professional		$0.56	$0.72	$1.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.07	Professional		$0.05	$0.05	$0.07