Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.92 / $1,773.95 / $1,876.30	Facility		$1,466.92	$1,773.95	$1,876.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $77.30 / $2,783.22	Professional		$77.30	$77.30	$2,783.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.03 / $1,038.03 / $1,038.03	Facility		$1,038.03	$1,038.03	$1,038.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.93 / $2,194.51 / $3,366.44	Facility		$1,877.93	$2,194.51	$3,366.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.39 / $1,837.28 / $2,087.81	Professional		$807.39	$1,837.28	$2,087.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $525.36 / $818.75 / $2,388.02	Facility		$525.36	$818.75	$2,388.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.36 / $818.75 / $2,388.02	Facility		$525.36	$818.75	$2,388.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.15 / $409.37 / $2,104.08	Professional		$341.15	$409.37	$2,104.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.36 / $818.75 / $2,388.02	Facility		$525.36	$818.75	$2,388.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $996.92 / $1,623.93 / $2,281.52	Professional		$996.92	$1,623.93	$2,281.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,364.58 / $3,240.88 / $3,240.88	Facility		$1,364.58	$3,240.88	$3,240.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,729.16 / $3,411.45 / $3,411.45	Professional		$2,729.16	$3,411.45	$3,411.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.97 / $1,452.97 / $1,452.97	Professional		$1,452.97	$1,452.97	$1,452.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.88 / $3,725.30 / $3,725.30	Professional		$1,982.88	$3,725.30	$3,725.30
United Facility/Professional Professional Modifier Low / Median / High Price $341.15 / $436.87 / $1,432.81	Professional		$341.15	$436.87	$1,432.81