Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,454.20 / $1,758.56 / $1,860.02	Facility		$1,454.20	$1,758.56	$1,860.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $180.36 / $2,897.04	Professional		$180.36	$180.36	$2,897.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,029.18 / $1,029.18 / $1,029.18	Facility		$1,029.18	$1,029.18	$1,029.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,861.71 / $2,175.56 / $3,337.36	Facility		$1,861.71	$2,175.56	$3,337.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.58 / $1,821.33 / $2,069.69	Professional		$800.58	$1,821.33	$2,069.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.79 / $811.64 / $2,367.30	Facility		$520.79	$811.64	$2,367.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.79 / $811.64 / $2,367.30	Facility		$520.79	$811.64	$2,367.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $405.82 / $2,085.82	Professional		$338.19	$405.82	$2,085.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,866.78	Professional		$50.00	$65.00	$1,866.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.79 / $811.64 / $2,367.30	Facility		$520.79	$811.64	$2,367.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,129.14 / $1,612.79 / $2,262.04	Professional		$1,129.14	$1,612.79	$2,262.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,352.74 / $3,212.76 / $3,212.76	Facility		$1,352.74	$3,212.76	$3,212.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,705.48 / $3,381.85 / $3,381.85	Professional		$2,705.48	$3,381.85	$3,381.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.36 / $1,440.36 / $1,440.36	Professional		$1,440.36	$1,440.36	$1,440.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.98 / $3,692.98 / $3,692.98	Professional		$3,692.98	$3,692.98	$3,692.98
United Facility/Professional Professional Modifier Low / Median / High Price $338.19 / $405.82 / $1,217.47	Professional		$338.19	$405.82	$1,217.47