Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $12,536.66	Professional		$1,500.00	$1,500.00	$12,536.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,610.38 / $4,610.38 / $4,610.38	Facility		$4,610.38	$4,610.38	$4,610.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,338.95 / $9,744.74 / $14,948.68	Facility		$8,338.95	$9,744.74	$14,948.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,586.04 / $8,159.18 / $9,271.79	Professional		$3,586.04	$8,159.18	$9,271.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,333.10 / $3,636.00 / $10,605.00	Facility		$2,333.10	$3,636.00	$10,605.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,333.10 / $3,636.00 / $10,605.00	Facility		$2,333.10	$3,636.00	$10,605.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,818.00 / $9,344.07	Professional		$1,515.00	$1,818.00	$9,344.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,333.10 / $3,636.00 / $10,605.00	Facility		$2,333.10	$3,636.00	$10,605.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,058.18 / $7,224.77 / $10,133.21	Professional		$5,058.18	$7,224.77	$10,133.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,060.00 / $14,392.50 / $14,392.50	Facility		$6,060.00	$14,392.50	$14,392.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,120.00 / $15,150.00 / $15,150.00	Professional		$12,120.00	$15,150.00	$15,150.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,452.52 / $6,452.52 / $6,452.52	Professional		$6,452.52	$6,452.52	$6,452.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,805.83 / $16,543.80 / $16,543.80	Professional		$8,805.83	$16,543.80	$16,543.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.00 / $1,818.00 / $6,363.00	Professional		$1,515.00	$1,818.00	$6,363.00