Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Facility		$0.33	$0.33	$0.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.38	Professional		$0.33	$0.33	$0.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.33 / $0.41	Professional		$0.28	$0.33	$0.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.56 / $1.02	Facility		$0.28	$0.56	$1.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.47	Professional		$0.28	$0.28	$0.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.50	Facility		$0.33	$0.33	$0.50
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 $0.33 / $0.35 / $0.63	Facility		$0.33	$0.35	$0.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.53	Professional		$0.39	$0.39	$0.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $58.40 / $85.00	Professional		$0.28	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.50	Facility		$0.33	$0.33	$0.50
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 $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $1.00	Professional		$0.28	$0.28	$1.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.39 / $0.49	Professional		$0.39	$0.39	$0.49