Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $2,013.60	Professional		$28.88	$28.88	$2,013.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $503.40 / $765.86	Facility		$503.40	$503.40	$765.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,385.02 / $1,618.51 / $2,482.83	Facility		$1,385.02	$1,618.51	$2,482.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $1,355.55 / $1,540.40	Professional		$578.20	$1,355.55	$1,540.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $453.06 / $644.35	Facility		$302.04	$453.06	$644.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $503.40 / $2,391.15	Facility		$302.04	$503.40	$2,391.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.97 / $503.40 / $1,057.14	Professional		$291.97	$503.40	$1,057.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $453.06 / $644.35	Facility		$302.04	$453.06	$644.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $591.28 / $1,200.14 / $1,711.60	Professional		$591.28	$1,200.14	$1,711.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,006.80 / $1,006.80 / $2,391.15	Facility		$1,006.80	$1,006.80	$2,391.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $263.85 / $263.85	Professional		$263.85	$263.85	$263.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.01 / $1,072.01 / $1,072.01	Professional		$1,072.01	$1,072.01	$1,072.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,642.85 / $2,748.56 / $2,748.56	Professional		$2,642.85	$2,748.56	$2,748.56
United Facility/Professional Facility Modifier Low / Median / High Price $604.08 / $604.08 / $604.08	Facility		$604.08	$604.08	$604.08
United Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $402.72 / $937.03	Professional		$271.83	$402.72	$937.03