Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $1,629.72	Professional		$98.11	$98.11	$1,629.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.16 / $620.16 / $620.16	Facility		$620.16	$620.16	$620.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.99 / $1,309.97 / $2,009.53	Facility		$1,120.99	$1,309.97	$2,009.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.39 / $1,097.13 / $1,246.74	Professional		$482.39	$1,097.13	$1,246.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.72 / $488.92 / $1,426.01	Facility		$313.72	$488.92	$1,426.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.72 / $488.92 / $1,426.01	Facility		$313.72	$488.92	$1,426.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $244.46 / $1,256.45	Professional		$203.72	$244.46	$1,256.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,124.51	Professional		$50.00	$70.00	$1,124.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $313.72 / $488.92 / $1,426.01	Facility		$313.72	$488.92	$1,426.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.40 / $971.84 / $1,363.07	Professional		$680.40	$971.84	$1,363.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $814.86 / $1,935.29 / $1,935.29	Facility		$814.86	$1,935.29	$1,935.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,629.72 / $1,629.72 / $2,029.00	Professional		$1,629.72	$1,629.72	$2,029.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $867.64 / $867.64 / $867.64	Professional		$867.64	$867.64	$867.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.08 / $2,224.57 / $2,224.57	Professional		$1,184.08	$2,224.57	$2,224.57
United Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Facility		$407.43	$407.43	$407.43
United Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $244.46 / $855.60	Professional		$177.11	$244.46	$855.60