Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $10.93	Professional		$1.57	$1.57	$10.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.00 / $21.60	Professional		$2.70	$4.00	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.60 / $12.86	Professional		$10.13	$10.60	$12.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $26.88 / $51.60	Facility		$1.57	$26.88	$51.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $25.20 / $51.60	Facility		$1.57	$25.20	$51.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $39.60 / $88.80	Professional		$24.00	$39.60	$88.80
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 $1.57 / $28.80 / $51.60	Facility		$1.57	$28.80	$51.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Facility		$28.80	$28.80	$28.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $43.20 / $90.00	Professional		$24.00	$43.20	$90.00