Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $30,328.80	Professional		$846.27	$846.27	$30,328.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,537.52 / $11,537.52 / $11,537.52	Facility		$11,537.52	$11,537.52	$11,537.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,866.33 / $24,383.96 / $37,405.62	Facility		$20,866.33	$24,383.96	$37,405.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,974.03 / $20,417.34 / $23,201.54	Professional		$8,974.03	$20,417.34	$23,201.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,838.29 / $9,098.64 / $26,537.70	Facility		$5,838.29	$9,098.64	$26,537.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,838.29 / $9,098.64 / $26,537.70	Facility		$5,838.29	$9,098.64	$26,537.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,791.10 / $4,549.32 / $23,382.37	Professional		$3,791.10	$4,549.32	$23,382.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $20,926.87	Professional		$50.00	$70.00	$20,926.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,838.29 / $9,098.64 / $26,537.70	Facility		$5,838.29	$9,098.64	$26,537.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,658.14 / $18,080.04 / $25,358.47	Professional		$12,658.14	$18,080.04	$25,358.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,164.40 / $36,015.44 / $36,015.44	Facility		$15,164.40	$36,015.44	$36,015.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30,328.80 / $30,328.80 / $37,759.36	Professional		$30,328.80	$30,328.80	$37,759.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,146.63 / $16,146.63 / $16,146.63	Professional		$16,146.63	$16,146.63	$16,146.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,035.50 / $41,398.81 / $41,398.81	Professional		$22,035.50	$41,398.81	$41,398.81
United Facility/Professional Professional Modifier Low / Median / High Price $3,295.98 / $4,549.32 / $14,113.51	Professional		$3,295.98	$4,549.32	$14,113.51