Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $9,429.37	Professional		$800.00	$800.00	$9,429.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,271.80 / $7,329.09 / $11,243.01	Facility		$6,271.80	$7,329.09	$11,243.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,697.40 / $6,136.89 / $6,973.74	Professional		$2,697.40	$6,136.89	$6,973.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,754.83 / $2,734.80 / $7,976.50	Facility		$1,754.83	$2,734.80	$7,976.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,754.83 / $2,734.80 / $7,976.50	Facility		$1,754.83	$2,734.80	$7,976.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,139.50 / $1,367.40 / $7,028.09	Professional		$1,139.50	$1,367.40	$7,028.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,139.50	Professional		$50.00	$65.00	$1,139.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,754.83 / $2,734.80 / $7,976.50	Facility		$1,754.83	$2,734.80	$7,976.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,804.84 / $5,434.58 / $7,622.36	Professional		$3,804.84	$5,434.58	$7,622.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,558.00 / $10,825.25 / $10,825.25	Facility		$4,558.00	$10,825.25	$10,825.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,116.00 / $9,116.00 / $11,349.42	Professional		$9,116.00	$9,116.00	$11,349.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,853.22 / $4,853.22 / $4,853.22	Professional		$4,853.22	$4,853.22	$4,853.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,623.26 / $12,443.34 / $12,443.34	Professional		$6,623.26	$12,443.34	$12,443.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.50 / $1,367.40 / $4,785.89	Professional		$1,139.50	$1,367.40	$4,785.89