Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $5.53	Facility		$2.48	$2.48	$5.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $3.10	Professional		$2.48	$2.48	$3.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $5.74 / $5.95	Facility		$4.94	$5.74	$5.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.64	Professional		$2.59	$2.59	$2.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $5.99 / $8.56	Facility		$2.64	$5.99	$8.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.59 / $3.14	Professional		$2.50	$2.59	$3.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $3.10 / $3.10	Facility		$2.48	$3.10	$3.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.67 / $3.10	Facility		$2.48	$2.67	$3.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $3.37	Professional		$2.59	$2.59	$3.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $55.00 / $85.00	Professional		$7.26	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $3.10 / $3.10	Facility		$2.48	$3.10	$3.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $85.00	Facility		$2.64	$2.64	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $1.19	Professional		$0.65	$0.65	$1.19
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $3.55	Professional		$2.59	$2.59	$3.55