Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $5,046.78 / $14,999.13	Professional		$203.55	$5,046.78	$14,999.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,824.35 / $3,824.35 / $3,824.35	Facility		$3,824.35	$3,824.35	$3,824.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,918.65 / $18,089.38 / $25,676.22	Facility		$15,918.65	$18,089.38	$25,676.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,015.90 / $3,667.90 / $12,491.33	Professional		$3,015.90	$3,667.90	$12,491.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $5,049.00 / $8,796.37	Facility		$3,015.90	$5,049.00	$8,796.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $5,049.00 / $8,796.37	Facility		$3,015.90	$5,049.00	$8,796.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,092.51 / $1,507.95 / $13,612.50	Professional		$1,092.51	$1,507.95	$13,612.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,256.63	Professional		$50.00	$70.00	$1,256.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $5,049.00 / $8,796.37	Facility		$3,015.90	$5,049.00	$8,796.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,195.80 / $6,128.98 / $9,998.49	Professional		$4,195.80	$6,128.98	$9,998.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,026.50 / $5,026.50 / $11,937.94	Facility		$5,026.50	$5,026.50	$11,937.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,053.00 / $12,491.33 / $13,612.50	Professional		$10,053.00	$12,491.33	$13,612.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.08 / $5,352.08 / $5,352.08	Professional		$5,352.08	$5,352.08	$5,352.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27,027.00 / $27,027.00 / $27,027.00	Professional		$27,027.00	$27,027.00	$27,027.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.51 / $1,507.95 / $6,190.67	Professional		$1,092.51	$1,507.95	$6,190.67