Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.00 / $18.23	Professional		$13.28	$14.00	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $4.38 / $14.05	Professional		$2.35	$4.38	$14.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $8.19 / $8.57	Facility		$3.93	$8.19	$8.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.57 / $8.57	Professional		$4.75	$8.57	$8.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $45.47	Facility		$34.24	$40.02	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.28 / $20.19	Professional		$10.71	$14.28	$20.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $14.00 / $18.10	Facility		$4.82	$14.00	$18.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $14.00 / $18.20	Facility		$4.82	$14.00	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $12.90 / $41.00	Professional		$6.01	$12.90	$41.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $14.00 / $18.10	Facility		$4.82	$14.00	$18.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.49 / $13.63	Professional		$5.04	$7.49	$13.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.39 / $41.00	Professional		$16.00	$19.39	$41.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $20.48 / $27.28	Professional		$12.28	$20.48	$27.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $9.89 / $17.39	Professional		$5.39	$9.89	$17.39