Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $3.70	Facility		$1.66	$1.66	$3.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.72 / $2.06	Professional		$1.66	$1.72	$2.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.06 / $2.94	Professional		$1.66	$2.06	$2.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.80 / $2.54	Facility		$0.99	$1.80	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.77 / $0.94	Professional		$0.75	$0.77	$0.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.76 / $3.45	Facility		$1.66	$1.76	$3.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.81 / $95.00	Facility		$1.66	$1.81	$95.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.17 / $5.42	Professional		$2.41	$4.17	$5.42
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 $1.66 / $1.76 / $3.45	Facility		$1.66	$1.76	$3.45
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.41 / $2.41	Professional		$2.41	$2.41	$2.41
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 Facility Modifier Low / Median / High Price $0.04 / $1.67 / $3.92	Facility		$0.04	$1.67	$3.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $4.17 / $5.00	Professional		$3.54	$4.17	$5.00