Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.15 / $2.59	Facility		$1.15	$1.15	$2.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.19 / $2.06	Professional		$1.15	$1.19	$2.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $1.96 / $1.96	Professional		$0.10	$1.96	$1.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.23 / $1.74	Facility		$1.15	$1.23	$1.74
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 $1.15 / $1.27 / $95.00	Facility		$1.15	$1.27	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.16 / $0.26	Professional		$0.15	$0.16	$0.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $58.40 / $85.00	Professional		$0.65	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.23 / $1.74	Facility		$1.15	$1.23	$1.74
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 $1.23 / $65.00 / $95.00	Facility		$1.23	$65.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.27	Professional		$0.17	$0.17	$0.27