Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $0.40 / $0.89	Facility		$0.40	$0.40	$0.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.40 / $0.60	Professional		$0.40	$0.40	$0.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.74	Professional		$0.49	$0.49	$0.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.89 / $1.28	Facility		$0.49	$0.89	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $0.52	Professional		$0.38	$0.47	$0.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.40	Facility		$0.32	$0.32	$0.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.40	Facility		$0.32	$0.32	$0.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.75	Professional		$0.57	$0.57	$0.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $85.00	Professional		$55.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $0.40	Facility		$0.32	$0.32	$0.40
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Facility		$0.52	$0.52	$0.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $1.23	Professional		$0.68	$0.68	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $0.57 / $0.75	Professional		$0.57	$0.57	$0.75