Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $3.82 / $8.52	Facility		$3.82	$3.82	$8.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.82 / $3.99	Professional		$3.39	$3.82	$3.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.91 / $12.83	Professional		$3.73	$5.91	$12.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $8.94 / $12.77	Facility		$3.49	$8.94	$12.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.12 / $6.95	Professional		$3.75	$6.12	$6.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.90 / $5.25	Facility		$3.39	$3.90	$5.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.90 / $5.25	Facility		$3.39	$3.90	$5.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $6.83	Professional		$5.25	$5.25	$6.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $55.00 / $85.00	Professional		$13.03	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.90 / $5.25	Facility		$3.39	$3.90	$5.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.60 / $1.60	Professional		$1.60	$1.60	$1.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $8.48 / $11.90	Professional		$5.94	$8.48	$11.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $100.00	Facility		$3.49	$3.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $7.19	Professional		$5.25	$5.25	$7.19