Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $1,489.15	Professional		$66.20	$66.20	$1,489.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.50 / $404.50 / $620.16	Facility		$404.50	$404.50	$620.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.99 / $1,309.97 / $2,009.53	Facility		$1,120.99	$1,309.97	$2,009.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.39 / $1,097.13 / $1,246.74	Professional		$482.39	$1,097.13	$1,246.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.72 / $488.92 / $1,426.01	Facility		$313.72	$488.92	$1,426.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.39 / $488.92 / $1,426.01	Facility		$325.39	$488.92	$1,426.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $106.37 / $595.84	Professional		$82.76	$106.37	$595.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $313.72 / $488.92 / $1,426.01	Facility		$313.72	$488.92	$1,426.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $314.19 / $970.20 / $1,363.07	Professional		$314.19	$970.20	$1,363.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $814.86 / $1,935.29 / $1,935.29	Facility		$814.86	$1,935.29	$1,935.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,629.72 / $1,629.72 / $2,029.00	Professional		$1,629.72	$1,629.72	$2,029.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $867.64 / $867.64 / $867.64	Professional		$867.64	$867.64	$867.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.08 / $2,224.57 / $2,224.57	Professional		$1,184.08	$2,224.57	$2,224.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $132.41 / $438.95	Professional		$89.08	$132.41	$438.95