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 / $2,966.56	Professional		$335.33	$335.33	$2,966.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,128.59 / $1,128.59 / $1,128.59	Facility		$1,128.59	$1,128.59	$1,128.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.04 / $2,385.11 / $3,847.10	Facility		$2,041.04	$2,385.11	$3,847.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.01 / $1,997.08 / $2,269.41	Professional		$878.01	$1,997.08	$2,269.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $571.05 / $889.97 / $2,595.73	Facility		$571.05	$889.97	$2,595.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.05 / $889.97 / $2,595.73	Facility		$571.05	$889.97	$2,595.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $444.98 / $2,287.11	Professional		$370.82	$444.98	$2,287.11
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 $571.05 / $889.97 / $2,595.73	Facility		$571.05	$889.97	$2,595.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.22 / $1,768.59 / $2,480.57	Professional		$1,238.22	$1,768.59	$2,480.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,483.28 / $3,522.79 / $3,522.79	Facility		$1,483.28	$3,522.79	$3,522.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,966.56 / $3,693.37 / $3,693.37	Professional		$2,966.56	$3,693.37	$3,693.37
United Facility/Professional Professional Modifier Low / Median / High Price $333.74 / $444.98 / $1,380.49	Professional		$333.74	$444.98	$1,380.49