Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $93.08	Professional		$4.03	$4.03	$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 $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $64.30 / $73.06	Professional		$21.48	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $13.85 / $29.32	Facility		$13.85	$13.85	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $13.85 / $112.04	Facility		$7.61	$13.85	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $19.34 / $43.20	Professional		$11.62	$19.34	$43.20
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 $13.85 / $13.85 / $29.32	Facility		$13.85	$13.85	$29.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $56.98 / $80.05	Professional		$31.80	$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 $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $14.36 / $43.20	Professional		$11.62	$14.36	$43.20