Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $4.18 / $93.08	Professional		$4.18	$4.18	$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 $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $64.30 / $73.06	Professional		$23.95	$64.30	$73.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $29.32	Facility		$15.70	$15.70	$29.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $15.70 / $112.04	Facility		$7.61	$15.70	$112.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $19.34 / $47.59	Professional		$12.74	$19.34	$47.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $85.00 / $3,000.00	Professional		$59.35	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $29.32	Facility		$15.70	$15.70	$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 $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $14.36 / $47.59	Professional		$11.97	$14.36	$47.59