Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.25 / $18.38	Facility		$6.25	$6.25	$18.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.48 / $7.81	Professional		$6.25	$6.48	$7.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $4.82 / $4.82	Professional		$0.03	$4.82	$4.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.90 / $4.82	Facility		$0.56	$0.90	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $4.82	Professional		$0.38	$0.47	$4.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $6.25 / $9.38	Facility		$3.45	$6.25	$9.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $6.84 / $95.00	Facility		$6.25	$6.84	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $2.94	Professional		$0.02	$0.02	$2.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $55.00 / $85.00	Professional		$10.93	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $6.25 / $9.38	Facility		$3.45	$6.25	$9.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $65.00 / $95.00	Facility		$4.82	$65.00	$95.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $12.36 / $19.22	Professional		$10.51	$12.36	$19.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Professional		$0.02	$0.02	$0.05