Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $6.42 / $17.38	Facility		$2.88	$6.42	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.99 / $3.60	Professional		$2.88	$2.99	$3.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.00 / $129.13	Professional		$2.88	$3.00	$129.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $4.21 / $6.46	Facility		$3.06	$4.21	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.88 / $3.06	Professional		$1.12	$1.88	$3.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $2.88 / $4.03	Facility		$1.46	$2.88	$4.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $35.27 / $35.27	Professional		$35.27	$35.27	$35.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $2.88 / $4.03	Facility		$1.46	$2.88	$4.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $484.17	Professional		$3.00	$3.00	$484.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $65.00 / $85.00	Professional		$1.46	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $2.88 / $4.03	Facility		$1.46	$2.88	$4.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $35.27 / $35.27	Professional		$35.27	$35.27	$35.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $86.74 / $130.59	Professional		$3.53	$86.74	$130.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $139.11 / $139.11	Facility		$85.00	$139.11	$139.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.82 / $484.17	Professional		$3.06	$3.82	$484.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Professional		$3.82	$3.82	$3.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.88	Professional		$2.04	$2.04	$3.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.96	Professional		$3.00	$3.00	$3.96