Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.38	Facility		$0.62	$0.62	$1.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.67 / $651.95	Professional		$0.62	$0.67	$651.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $2.15 / $2.23	Facility		$1.85	$2.15	$2.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.92	Professional		$0.66	$0.66	$0.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.79 / $2.54	Facility		$0.66	$1.79	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.77 / $0.94	Professional		$0.66	$0.77	$0.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.78 / $0.78	Facility		$0.62	$0.78	$0.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.78 / $1.00	Facility		$0.62	$0.78	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.87	Professional		$0.67	$0.67	$0.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $55.00 / $85.00	Professional		$9.03	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.78 / $0.78	Facility		$0.62	$0.78	$0.78
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 $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.92	Professional		$0.67	$0.67	$0.92