Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $11,666.40	Professional		$1,167.83	$1,167.83	$11,666.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,438.12 / $4,438.12 / $4,438.12	Facility		$4,438.12	$4,438.12	$4,438.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,026.28 / $9,379.34 / $14,388.15	Facility		$8,026.28	$9,379.34	$14,388.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.04 / $7,853.82 / $8,924.79	Professional		$3,452.04	$7,853.82	$8,924.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,245.78 / $3,499.92 / $10,208.10	Facility		$2,245.78	$3,499.92	$10,208.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,245.78 / $3,499.92 / $10,208.10	Facility		$2,245.78	$3,499.92	$10,208.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,458.30 / $1,749.96 / $8,994.36	Professional		$1,458.30	$1,749.96	$8,994.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,245.78 / $3,499.92 / $10,208.10	Facility		$2,245.78	$3,499.92	$10,208.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,869.18 / $6,954.81 / $9,754.59	Professional		$4,869.18	$6,954.81	$9,754.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,833.20 / $13,853.85 / $13,853.85	Facility		$5,833.20	$13,853.85	$13,853.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,666.40 / $14,583.00 / $14,583.00	Professional		$11,666.40	$14,583.00	$14,583.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,211.03 / $6,211.03 / $6,211.03	Professional		$6,211.03	$6,211.03	$6,211.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,476.26 / $15,924.64 / $15,924.64	Professional		$8,476.26	$15,924.64	$15,924.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,458.30 / $1,749.96 / $6,124.86	Professional		$1,458.30	$1,749.96	$6,124.86