Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $93.08	Professional		$5.18	$5.18	$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 $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $64.30 / $73.06	Professional		$20.23	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $14.54 / $29.32	Facility		$14.54	$14.54	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $14.54 / $112.04	Facility		$7.61	$14.54	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $19.34 / $45.40	Professional		$12.15	$19.34	$45.40
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 $14.54 / $14.54 / $29.32	Facility		$14.54	$14.54	$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 $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $18.36 / $45.40	Professional		$11.97	$18.36	$45.40