Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.34 / $1,615.51 / $4,389.18	Professional		$651.34	$1,615.51	$4,389.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.42 / $1,145.70 / $1,847.97	Facility		$980.42	$1,145.70	$1,847.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.42 / $1,146.42 / $1,302.75	Professional		$1,146.42	$1,146.42	$1,302.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.00 / $581.34 / $809.78	Facility		$381.00	$581.34	$809.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.34 / $10,211.00 / $16,779.00	Facility		$443.34	$10,211.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $502.73 / $1,050.53 / $1,941.58	Professional		$502.73	$1,050.53	$1,941.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.00 / $581.34 / $809.78	Facility		$381.00	$581.34	$809.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $704.01 / $1,366.95 / $1,860.11	Professional		$704.01	$1,366.95	$1,860.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,524.30 / $17,524.30 / $17,524.30	Facility		$17,524.30	$17,524.30	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,618.06 / $4,655.12 / $4,655.12	Professional		$2,618.06	$4,655.12	$4,655.12
United Facility/Professional Professional Modifier Low / Median / High Price $612.44 / $1,052.92 / $1,695.41	Professional		$612.44	$1,052.92	$1,695.41