Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $93.33	Professional		$19.95	$31.62	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $66,069.34 / $66,069.34	Facility		$66,069.34	$66,069.34	$66,069.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $10,000.00	Professional		$66.07	$89.13	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $229.09	Facility		$100.00	$100.00	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
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 $66.07 / $162.18 / $162.18	Professional		$66.07	$162.18	$162.18