Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $93.08	Professional		$3.74	$3.74	$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 $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $64.30 / $73.06	Professional		$19.41	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $29.32	Facility		$12.19	$12.19	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $12.19 / $112.04	Facility		$7.61	$12.19	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $19.04 / $42.55	Professional		$9.85	$19.04	$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 $12.19 / $12.19 / $29.32	Facility		$12.19	$12.19	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $56.98 / $80.05	Professional		$29.52	$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 $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.36 / $42.55	Professional		$10.07	$14.36	$42.55