Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $93.08	Professional		$4.90	$4.90	$93.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $55.99 / $58.19	Facility		$24.06	$55.99	$58.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $64.30 / $73.06	Professional		$22.30	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.32	Facility		$13.49	$13.49	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $13.49 / $112.04	Facility		$7.61	$13.49	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $19.87 / $42.55	Professional		$11.23	$19.87	$42.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $3,000.00	Professional		$55.00	$65.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.32	Facility		$13.49	$13.49	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $56.98 / $80.05	Professional		$32.32	$56.98	$80.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $50.00 / $112.04	Facility		$45.88	$50.00	$112.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $12.20	Professional		$12.20	$12.20	$12.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $12.20	Professional		$12.20	$12.20	$12.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $18.36 / $42.55	Professional		$11.23	$18.36	$42.55