Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $3.39	Facility		$1.52	$1.52	$3.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.90	Professional		$1.52	$1.52	$1.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.61 / $3.75	Facility		$3.11	$3.61	$3.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.62	Professional		$1.58	$1.58	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.75 / $5.36	Facility		$1.62	$3.75	$5.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.62 / $1.97	Professional		$1.58	$1.62	$1.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.90 / $1.90	Facility		$1.52	$1.90	$1.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.68 / $1.90	Facility		$1.52	$1.68	$1.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.04	Professional		$1.58	$1.58	$2.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $55.00 / $85.00	Professional		$6.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.90 / $1.90	Facility		$1.52	$1.90	$1.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $85.00	Facility		$1.62	$1.62	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $2.16	Professional		$1.58	$1.58	$2.16