Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Facility		$0.25	$0.25	$0.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.31	Professional		$0.25	$0.25	$0.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.26	Professional		$0.18	$0.18	$0.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.56 / $1.02	Facility		$0.18	$0.56	$1.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.47	Professional		$0.18	$0.18	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.38	Facility		$0.25	$0.25	$0.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.26 / $0.43	Facility		$0.25	$0.26	$0.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.23	Professional		$0.18	$0.18	$0.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $58.40 / $85.00	Professional		$0.18	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.26 / $0.38	Facility		$0.25	$0.26	$0.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.26	Professional		$0.26	$0.26	$0.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.19	Professional		$0.18	$0.18	$0.19
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.25	Professional		$0.18	$0.18	$0.25