Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.22	Facility		$0.10	$0.10	$0.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.18	Professional		$0.13	$0.13	$0.18
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 $0.10 / $0.10 / $0.15	Facility		$0.10	$0.10	$0.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $95.00	Facility		$0.10	$0.10	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.21	Professional		$0.13	$0.13	$0.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Facility		$0.10	$0.10	$0.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $95.00	Facility		$65.00	$65.00	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.27	Professional		$0.13	$0.13	$0.27