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 / $2,802.24	Professional		$335.33	$335.33	$2,802.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,066.09 / $1,066.09 / $1,066.09	Facility		$1,066.09	$1,066.09	$1,066.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,928.40 / $2,253.48 / $3,634.79	Facility		$1,928.40	$2,253.48	$3,634.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.09 / $1,886.47 / $2,143.71	Professional		$829.09	$1,886.47	$2,143.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $539.42 / $840.67 / $2,451.96	Facility		$539.42	$840.67	$2,451.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.42 / $840.67 / $2,451.96	Facility		$539.42	$840.67	$2,451.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.28 / $420.34 / $2,160.42	Professional		$350.28	$420.34	$2,160.42
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 $539.42 / $840.67 / $2,451.96	Facility		$539.42	$840.67	$2,451.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.64 / $1,670.64 / $2,343.17	Professional		$1,169.64	$1,670.64	$2,343.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,401.12 / $3,327.66 / $3,327.66	Facility		$1,401.12	$3,327.66	$3,327.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,802.24 / $3,488.79 / $3,488.79	Professional		$2,802.24	$3,488.79	$3,488.79
United Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $700.56 / $700.56	Facility		$700.56	$700.56	$700.56
United Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $420.34 / $1,304.02	Professional		$315.25	$420.34	$1,304.02