Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $1,928.56	Professional		$109.93	$109.93	$1,928.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $733.86 / $733.86 / $733.86	Facility		$733.86	$733.86	$733.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.45 / $1,550.06 / $2,377.83	Facility		$1,326.45	$1,550.06	$2,377.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.87 / $1,298.31 / $1,475.35	Professional		$570.87	$1,298.31	$1,475.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.25 / $578.57 / $1,687.49	Facility		$371.25	$578.57	$1,687.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.25 / $578.57 / $1,687.49	Facility		$371.25	$578.57	$1,687.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $133.24 / $746.32	Professional		$103.66	$133.24	$746.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $371.25 / $578.57 / $1,687.49	Facility		$371.25	$578.57	$1,687.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.59 / $1,148.07 / $1,612.96	Professional		$406.59	$1,148.07	$1,612.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $964.28 / $2,290.17 / $2,290.17	Facility		$964.28	$2,290.17	$2,290.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,928.56 / $1,928.56 / $2,401.06	Professional		$1,928.56	$1,928.56	$2,401.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.74 / $1,026.74 / $1,026.74	Professional		$1,026.74	$1,026.74	$1,026.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.10 / $2,632.48 / $2,632.48	Professional		$1,401.10	$2,632.48	$2,632.48
United Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $482.14 / $482.14	Facility		$482.14	$482.14	$482.14
United Facility/Professional Professional Modifier Low / Median / High Price $111.57 / $165.85 / $549.79	Professional		$111.57	$165.85	$549.79