Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $3,493.42 / $11,636.35	Professional		$336.26	$3,493.42	$11,636.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,532.05 / $7,532.05 / $7,532.05	Facility		$7,532.05	$7,532.05	$7,532.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,918.65 / $18,089.38 / $25,676.22	Facility		$15,918.65	$18,089.38	$25,676.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,940.00 / $7,224.08 / $15,147.00	Professional		$5,940.00	$7,224.08	$15,147.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,455.00 / $5,940.00 / $17,325.00	Facility		$4,455.00	$5,940.00	$17,325.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,455.00 / $6,949.80 / $17,325.00	Facility		$4,455.00	$6,949.80	$17,325.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,092.51 / $1,507.95 / $24,651.00	Professional		$1,092.51	$1,507.95	$24,651.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,475.00	Professional		$50.00	$65.00	$2,475.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,455.00 / $5,940.00 / $17,325.00	Facility		$4,455.00	$5,940.00	$17,325.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,930.45 / $11,680.78 / $16,554.79	Professional		$4,930.45	$11,680.78	$16,554.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,900.00 / $9,900.00 / $23,512.50	Facility		$9,900.00	$9,900.00	$23,512.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19,800.00 / $19,800.00 / $24,651.00	Professional		$19,800.00	$19,800.00	$24,651.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.08 / $5,352.08 / $5,352.08	Professional		$5,352.08	$5,352.08	$5,352.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,384.70 / $27,027.00 / $27,027.00	Professional		$14,384.70	$27,027.00	$27,027.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.51 / $1,609.23 / $6,190.67	Professional		$1,092.51	$1,609.23	$6,190.67