Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $2.99 / $42.78	Facility		$1.34	$2.99	$42.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.68	Professional		$1.34	$1.34	$1.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $3.35 / $11.74	Professional		$1.40	$3.35	$11.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.90 / $1.43	Facility		$0.49	$0.90	$1.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $6.12 / $6.95	Professional		$0.39	$6.12	$6.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.68 / $7.85	Facility		$1.34	$1.68	$7.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $6.93 / $34.86	Facility		$1.68	$6.93	$34.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.00	Professional		$1.40	$1.40	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $55.00 / $85.00	Professional		$3.16	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.68 / $7.85	Facility		$1.34	$1.68	$7.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.34 / $1.34	Professional		$1.34	$1.34	$1.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $8.39 / $12.10	Professional		$3.96	$8.39	$12.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.43 / $100.00	Facility		$1.43	$1.43	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $11.77	Professional		$6.43	$6.43	$11.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.10	Professional		$1.40	$1.40	$2.10