Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $4.76	Facility		$2.14	$2.14	$4.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.67	Professional		$2.14	$2.14	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.69 / $4.86	Facility		$4.03	$4.69	$4.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.27	Professional		$2.23	$2.23	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $2.16 / $3.07	Facility		$1.18	$2.16	$3.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Professional		$2.27	$2.27	$2.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.67 / $2.67	Facility		$2.14	$2.67	$2.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.18 / $2.67	Facility		$2.14	$2.18	$2.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.90	Professional		$2.23	$2.23	$2.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $50.00 / $85.00	Professional		$6.35	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.67 / $2.67	Facility		$2.14	$2.67	$2.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $85.00	Facility		$2.27	$2.27	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Professional		$2.27	$2.27	$2.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.90	Professional		$2.23	$2.23	$2.90