Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.40 / $7.58	Facility		$3.40	$3.40	$7.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $4.25	Professional		$3.40	$3.40	$4.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $6.45 / $14.01	Professional		$3.86	$6.45	$14.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $9.83 / $14.05	Facility		$3.75	$9.83	$14.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.67 / $7.58	Professional		$4.13	$6.67	$7.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $4.45 / $8.56	Facility		$3.40	$4.45	$8.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $4.45 / $8.56	Facility		$3.40	$4.45	$8.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.48	Professional		$3.75	$3.75	$5.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $55.00 / $85.00	Professional		$14.23	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $4.45 / $8.56	Facility		$3.40	$4.45	$8.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.26 / $12.98	Professional		$6.48	$9.26	$12.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $108.45	Facility		$3.75	$3.75	$108.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.88 / $12.84	Professional		$7.02	$8.88	$12.84
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.48	Professional		$3.75	$3.75	$5.48