Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.68 / $2,720.36 / $6,579.60	Professional		$1,080.68	$2,720.36	$6,579.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,075.28 / $2,425.13 / $3,911.65	Facility		$2,075.28	$2,425.13	$3,911.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.74 / $2,464.69 / $2,800.80	Professional		$900.74	$2,464.69	$2,800.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $858.04 / $1,584.87	Facility		$566.46	$858.04	$1,584.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.87 / $8,225.90 / $15,743.00	Facility		$810.87	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.33 / $1,701.57 / $3,888.02	Professional		$968.33	$1,701.57	$3,888.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $858.04 / $1,584.87	Facility		$566.46	$858.04	$1,584.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,223.21 / $2,267.75 / $3,231.92	Professional		$1,223.21	$2,267.75	$3,231.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,321.69 / $38,321.69 / $38,321.69	Facility		$38,321.69	$38,321.69	$38,321.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,131.27 / $7,346.08 / $7,346.08	Professional		$4,131.27	$7,346.08	$7,346.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $4,628.00 / $4,628.00	Facility		$4,628.00	$4,628.00	$4,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.15 / $2,575.23 / $3,475.46	Professional		$996.15	$2,575.23	$3,475.46