Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $620.59	Facility		$1.02	$1.02	$620.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.27	Professional		$1.02	$1.02	$1.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $2.17 / $2.25	Facility		$1.87	$2.17	$2.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.08	Professional		$1.06	$1.06	$1.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $2.41 / $3.45	Facility		$1.08	$2.41	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.04 / $1.27	Professional		$1.01	$1.04	$1.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.27 / $1.27	Facility		$1.02	$1.27	$1.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.02 / $1.27	Facility		$1.01	$1.02	$1.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.38	Professional		$1.06	$1.06	$1.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $55.00 / $85.00	Professional		$2.94	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.27 / $1.27	Facility		$1.02	$1.27	$1.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $85.00	Facility		$1.08	$1.08	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.38	Professional		$1.06	$1.06	$1.38