Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $93.08	Professional		$5.47	$5.47	$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 $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $64.30 / $73.06	Professional		$24.37	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $29.32	Facility		$17.32	$17.32	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $112.04	Facility		$17.32	$17.32	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.34 / $60.77	Professional		$13.16	$19.34	$60.77
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 $17.32 / $17.32 / $29.32	Facility		$17.32	$17.32	$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
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.32 / $60.77	Professional		$12.48	$17.32	$60.77