Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $7.90 / $8.14	Facility		$3.65	$7.90	$8.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.78 / $4.55	Professional		$3.65	$3.78	$4.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $8.49 / $8.81	Facility		$7.31	$8.49	$8.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $9.10	Professional		$3.80	$3.80	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $7.88 / $13.67	Facility		$3.88	$7.88	$13.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.75 / $7.01	Professional		$3.88	$4.75	$7.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.88 / $4.55	Facility		$3.65	$3.88	$4.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.88 / $4.55	Facility		$3.65	$3.88	$4.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.23 / $990.66	Professional		$3.80	$4.23	$990.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $3.88 / $5.11	Facility		$3.65	$3.88	$5.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Professional		$7.54	$7.54	$7.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $85.00	Facility		$3.88	$3.88	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.83 / $990.66	Professional		$3.88	$4.83	$990.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $5.55 / $5.55	Professional		$2.66	$5.55	$5.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.91 / $4.55	Professional		$3.80	$3.91	$4.55