Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $358.80 / $8,757.76	Professional		$358.80	$358.80	$8,757.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,488.00 / $2,488.00 / $3,785.95	Facility		$2,488.00	$2,488.00	$3,785.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,846.71 / $8,000.92 / $12,273.62	Facility		$6,846.71	$8,000.92	$12,273.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,859.20 / $6,699.68 / $7,613.28	Professional		$2,859.20	$6,699.68	$7,613.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,239.19 / $3,184.64	Facility		$1,492.80	$2,239.19	$3,184.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,488.00 / $11,818.00	Facility		$1,492.80	$2,488.00	$11,818.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,443.04 / $2,488.00 / $5,224.80	Professional		$1,443.04	$2,488.00	$5,224.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,244.00	Professional		$50.00	$85.00	$1,244.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,492.80 / $2,239.19 / $3,184.64	Facility		$1,492.80	$2,239.19	$3,184.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,306.02 / $5,922.84 / $8,461.20	Professional		$3,306.02	$5,922.84	$8,461.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,976.00 / $4,976.00 / $11,818.00	Facility		$4,976.00	$4,976.00	$11,818.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,298.30 / $5,298.30 / $5,298.30	Professional		$5,298.30	$5,298.30	$5,298.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,062.00 / $13,584.48 / $13,584.48	Professional		$13,062.00	$13,584.48	$13,584.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,990.40 / $5,224.80	Professional		$1,244.00	$1,990.40	$5,224.80