Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $3,205.93 / $11,284.87	Professional		$1,549.20	$3,205.93	$11,284.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,269.84 / $8,269.84 / $8,269.84	Facility		$8,269.84	$8,269.84	$8,269.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,478.18 / $19,861.58 / $28,191.70	Facility		$17,478.18	$19,861.58	$28,191.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,432.75 / $7,931.64 / $16,631.09	Professional		$6,432.75	$7,931.64	$16,631.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,891.50 / $6,522.00 / $19,022.50	Facility		$4,891.50	$6,522.00	$19,022.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,891.50 / $7,337.25 / $19,022.50	Facility		$4,891.50	$7,337.25	$19,022.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $824.63 / $1,138.20 / $27,066.30	Professional		$824.63	$1,138.20	$27,066.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,717.50	Professional		$50.00	$70.00	$2,717.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,891.50 / $6,522.00 / $19,022.50	Facility		$4,891.50	$6,522.00	$19,022.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,831.83 / $12,824.97 / $18,176.40	Professional		$3,831.83	$12,824.97	$18,176.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $10,870.00 / $25,816.25	Facility		$10,870.00	$10,870.00	$25,816.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21,740.00 / $21,740.00 / $27,066.30	Professional		$21,740.00	$21,740.00	$27,066.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,040.61 / $4,040.61 / $4,040.61	Professional		$4,040.61	$4,040.61	$4,040.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29,675.10 / $29,675.10 / $29,675.10	Professional		$29,675.10	$29,675.10	$29,675.10
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $4,672.72	Professional		$796.74	$1,138.20	$4,672.72