Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $1.85	Facility		$0.83	$0.83	$1.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.04	Professional		$0.83	$0.83	$1.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.88 / $0.88	Professional		$0.54	$0.88	$0.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.90 / $1.28	Facility		$0.49	$0.90	$1.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.39 / $0.47	Professional		$0.38	$0.39	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
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 $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.04 / $1.35	Professional		$1.04	$1.04	$1.35
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 $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $22.15	Professional		$12.11	$12.11	$22.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.04 / $1.42	Professional		$1.04	$1.04	$1.42