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 / $2,761.16	Professional		$335.33	$335.33	$2,761.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,050.33 / $1,050.33 / $1,050.33	Facility		$1,050.33	$1,050.33	$1,050.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.56 / $2,219.79 / $3,405.21	Facility		$1,899.56	$2,219.79	$3,405.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.17 / $1,858.81 / $2,112.29	Professional		$817.17	$1,858.81	$2,112.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $531.52 / $828.35 / $2,416.02	Facility		$531.52	$828.35	$2,416.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.52 / $828.35 / $2,416.02	Facility		$531.52	$828.35	$2,416.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.15 / $414.17 / $2,128.75	Professional		$345.15	$414.17	$2,128.75
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 $531.52 / $828.35 / $2,416.02	Facility		$531.52	$828.35	$2,416.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,152.35 / $1,645.95 / $2,308.56	Professional		$1,152.35	$1,645.95	$2,308.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,380.58 / $3,278.88 / $3,278.88	Facility		$1,380.58	$3,278.88	$3,278.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,761.16 / $2,761.16 / $3,437.64	Professional		$2,761.16	$2,761.16	$3,437.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $1,470.00	Professional		$1,470.00	$1,470.00	$1,470.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.13 / $3,768.98 / $3,768.98	Professional		$2,006.13	$3,768.98	$3,768.98
United Facility/Professional Professional Modifier Low / Median / High Price $310.63 / $414.17 / $1,449.61	Professional		$310.63	$414.17	$1,449.61