Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $1,873.32	Professional		$187.20	$187.20	$1,873.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.70 / $712.70 / $712.70	Facility		$712.70	$712.70	$712.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.59 / $1,505.83 / $2,309.98	Facility		$1,288.59	$1,505.83	$2,309.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.28 / $1,261.11 / $1,433.09	Professional		$554.28	$1,261.11	$1,433.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $360.61 / $562.00 / $1,639.16	Facility		$360.61	$562.00	$1,639.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $360.61 / $562.00 / $1,639.16	Facility		$360.61	$562.00	$1,639.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $281.00 / $1,444.26	Professional		$234.17	$281.00	$1,444.26
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 $360.61 / $562.00 / $1,639.16	Facility		$360.61	$562.00	$1,639.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $781.92 / $1,116.83 / $1,566.45	Professional		$781.92	$1,116.83	$1,566.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $936.66 / $2,224.57 / $2,224.57	Facility		$936.66	$2,224.57	$2,224.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,873.32 / $1,873.32 / $2,332.28	Professional		$1,873.32	$1,873.32	$2,332.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $997.33 / $997.33 / $997.33	Professional		$997.33	$997.33	$997.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.07 / $2,557.08 / $2,557.08	Professional		$1,361.07	$2,557.08	$2,557.08
United Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $281.00 / $871.75	Professional		$210.75	$281.00	$871.75