Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $7.36	Facility		$3.30	$3.30	$7.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $4.13	Professional		$3.30	$3.30	$4.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $4.88	Professional		$3.51	$3.51	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $8.94 / $12.77	Facility		$3.44	$8.94	$12.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.86 / $4.69	Professional		$3.44	$3.86	$4.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.37	Professional		$4.13	$4.13	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.43 / $6.41	Professional		$3.50	$4.43	$6.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $5.65	Professional		$4.13	$4.13	$5.65