Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $50.80 / $104.03	Facility		$0.49	$50.80	$104.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $2.27	Professional		$0.22	$0.22	$2.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $1.28	Professional		$0.22	$0.22	$1.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $2.23 / $3.19	Facility		$0.23	$2.23	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $1.47 / $1.68	Professional		$0.31	$1.47	$1.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.90 / $0.90	Facility		$0.22	$0.90	$0.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $1.35	Professional		$0.26	$0.26	$1.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $1.94 / $50.08	Facility		$0.36	$1.94	$50.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.35	Professional		$0.22	$0.22	$0.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $85.00	Professional		$65.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.90 / $0.90	Facility		$0.22	$0.90	$0.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $1.35	Professional		$0.26	$0.26	$1.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $2.25	Professional		$1.51	$1.51	$2.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $100.00	Facility		$0.23	$0.23	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.26 / $1.40	Professional		$1.11	$1.26	$1.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.33	Professional		$0.22	$0.22	$0.33