Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $304.83 / $863.59	Professional		$106.52	$304.83	$863.59
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 $105.25 / $174.61 / $312.85	Facility		$105.25	$174.61	$312.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $7,555.00 / $12,631.00	Facility		$159.43	$7,555.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $343.16 / $645.90	Professional		$135.69	$343.16	$645.90
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 $105.25 / $174.61 / $312.85	Facility		$105.25	$174.61	$312.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $388.88 / $559.85	Professional		$202.45	$388.88	$559.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,710.95 / $10,710.95 / $10,710.95	Facility		$10,710.95	$10,710.95	$10,710.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $716.99 / $1,328.36 / $1,328.36	Professional		$716.99	$1,328.36	$1,328.36
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $343.16 / $632.54	Professional		$128.74	$343.16	$632.54