Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $2,840.00	Professional		$335.33	$335.33	$2,840.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.36 / $1,080.36 / $1,080.36	Facility		$1,080.36	$1,080.36	$1,080.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.63 / $2,282.96 / $3,682.35	Facility		$1,953.63	$2,282.96	$3,682.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.57 / $1,911.89 / $2,172.60	Professional		$840.57	$1,911.89	$2,172.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $852.00 / $2,485.00	Facility		$546.70	$852.00	$2,485.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $852.00 / $2,485.00	Facility		$546.70	$852.00	$2,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $426.00 / $2,189.53	Professional		$355.00	$426.00	$2,189.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $852.00 / $2,485.00	Facility		$546.70	$852.00	$2,485.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,185.30 / $1,693.00 / $2,374.55	Professional		$1,185.30	$1,693.00	$2,374.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $3,372.50 / $3,372.50	Facility		$1,420.00	$3,372.50	$3,372.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,840.00 / $3,535.80 / $3,535.80	Professional		$2,840.00	$3,535.80	$3,535.80
United Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $426.00 / $1,321.59	Professional		$308.64	$426.00	$1,321.59