Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $69.00	Professional		$40.79	$40.79	$69.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66,824.33 / $66,824.33 / $66,824.33	Facility		$66,824.33	$66,824.33	$66,824.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $145.05 / $9,999.99	Professional		$145.05	$145.05	$9,999.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $226.59 / $226.59	Facility		$226.59	$226.59	$226.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $226.59 / $226.59	Facility		$100.00	$226.59	$226.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $226.59 / $226.59	Facility		$226.59	$226.59	$226.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Professional		$162.00	$162.00	$162.00