Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $34,982.65	Professional		$208.00	$208.00	$34,982.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,865.45 / $12,865.45 / $12,865.45	Facility		$12,865.45	$12,865.45	$12,865.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,268.72 / $27,191.34 / $41,712.21	Facility		$23,268.72	$27,191.34	$41,712.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,006.87 / $22,767.62 / $25,872.30	Professional		$10,006.87	$22,767.62	$25,872.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,510.35 / $10,146.00 / $29,592.50	Facility		$6,510.35	$10,146.00	$29,592.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,510.35 / $10,146.00 / $29,592.50	Facility		$6,510.35	$10,146.00	$29,592.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,361.92 / $13,230.00	Professional		$1,837.50	$2,361.92	$13,230.00
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 $6,510.35 / $10,146.00 / $29,592.50	Facility		$6,510.35	$10,146.00	$29,592.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,115.06 / $20,161.00 / $28,277.17	Professional		$14,115.06	$20,161.00	$28,277.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,910.00 / $40,161.25 / $40,161.25	Facility		$16,910.00	$40,161.25	$40,161.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33,820.00 / $33,820.00 / $42,105.90	Professional		$33,820.00	$33,820.00	$42,105.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,005.29 / $18,005.29 / $18,005.29	Professional		$18,005.29	$18,005.29	$18,005.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24,572.04 / $46,164.30 / $46,164.30	Professional		$24,572.04	$46,164.30	$46,164.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,837.50 / $2,940.00 / $9,746.43	Professional		$1,837.50	$2,940.00	$9,746.43