Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $598.01 / $2,083.46	Professional		$106.52	$598.01	$2,083.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $190.36 / $216.31	Professional		$190.36	$190.36	$216.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $451.61 / $1,660.06	Facility		$129.12	$451.61	$1,660.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.61 / $16,456.00 / $28,824.00	Facility		$451.61	$16,456.00	$28,824.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $374.41 / $868.44	Professional		$135.69	$374.41	$868.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $397.30	Professional		$50.00	$58.40	$397.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $451.61 / $1,660.06	Facility		$129.12	$451.61	$1,660.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $1,921.52 / $2,679.60	Professional		$487.20	$1,921.52	$2,679.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239,401.15 / $239,401.15 / $239,401.15	Facility		$239,401.15	$239,401.15	$239,401.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,141.86 / $4,390.95 / $4,390.95	Professional		$3,141.86	$4,390.95	$4,390.95
United Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $399.63 / $868.44	Professional		$135.69	$399.63	$868.44