Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $1.03 / $2.29	Facility		$1.03	$1.03	$2.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $1.29	Professional		$1.03	$1.03	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.94	Professional		$0.31	$0.31	$0.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.79 / $2.54	Facility		$0.65	$1.79	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.77 / $0.94	Professional		$0.65	$0.77	$0.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.35 / $1.03	Facility		$0.35	$0.35	$1.03
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 $0.35 / $0.35 / $1.03	Facility		$0.35	$0.35	$1.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.47	Professional		$0.36	$0.36	$0.47
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 $0.35 / $0.35 / $1.03	Facility		$0.35	$0.35	$1.03
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 Facility Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Facility		$0.65	$0.65	$0.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $16.00	Professional		$8.76	$8.76	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.49	Professional		$0.36	$0.36	$0.49