Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $14.74 / $14.74	Facility		$6.61	$14.74	$14.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $6.61 / $9.85	Professional		$5.55	$6.61	$9.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $9.85 / $24.17	Professional		$6.45	$9.85	$24.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $13.25 / $22.99	Facility		$6.55	$13.25	$22.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.44 / $13.30	Professional		$6.55	$8.44	$13.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $6.61 / $11.59	Facility		$5.62	$6.61	$11.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.61 / $11.59	Facility		$5.73	$6.61	$11.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $12.90 / $990.60	Professional		$11.59	$12.90	$990.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $65.00 / $85.00	Professional		$22.54	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $6.65 / $11.59	Facility		$5.86	$6.65	$11.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $14.99 / $20.55	Professional		$10.26	$14.99	$20.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $100.00	Facility		$6.55	$6.55	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $32.54 / $990.60	Professional		$6.55	$32.54	$990.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $12.17 / $13.79	Professional		$11.59	$12.17	$13.79