Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $6.34 / $93.08	Professional		$6.34	$6.34	$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 $81.09 / $94.77 / $145.38	Facility		$81.09	$94.77	$145.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $64.30 / $73.06	Professional		$37.17	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $29.32	Facility		$18.39	$18.39	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $112.04	Facility		$18.39	$18.39	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $54.18	Professional		$13.16	$19.34	$54.18
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 $18.39 / $18.39 / $29.32	Facility		$18.39	$18.39	$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 $15.90 / $15.90 / $15.90	Professional		$15.90	$15.90	$15.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Professional		$15.90	$15.90	$15.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $15.44 / $54.18	Professional		$12.29	$15.44	$54.18