Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $3.10	Facility		$1.39	$1.39	$3.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.39 / $1.45	Professional		$1.23	$1.39	$1.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $2.15 / $4.67	Professional		$1.36	$2.15	$4.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $5.36 / $7.66	Facility		$2.08	$5.36	$7.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.31 / $2.81	Professional		$2.22	$2.31	$2.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.49 / $2.86	Facility		$1.23	$1.49	$2.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.49 / $2.86	Facility		$1.23	$1.49	$2.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.12	Professional		$2.40	$2.40	$3.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $55.00 / $85.00	Professional		$4.76	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.49 / $2.86	Facility		$1.23	$1.49	$2.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.09 / $4.33	Professional		$2.16	$3.09	$4.33
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 $2.08 / $2.08 / $2.08	Professional		$2.08	$2.08	$2.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.29	Professional		$2.40	$2.40	$3.29