Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $9,549.93 / $15,135.61	Facility		$8,128.31	$9,549.93	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $10,964.78	Professional		$977.24	$1,621.81	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $7,244.36 / $13,489.63	Facility		$660.69	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $8,511.38	Professional		$1,071.52	$1,659.59	$8,511.38
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $1,621.81 / $2,454.71 / $12,882.50	Professional	50	$1,621.81	$2,454.71	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $8,709.64 / $21,379.62	Facility		$524.81	$8,709.64	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,709.64 / $22,387.21	Professional		$4,677.35	$8,709.64	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $6,456.54	Professional		$32.36	$50.12	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $40,738.03	Facility		$27,542.29	$27,542.29	$40,738.03
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,754.23 / $2,754.23 / $4,073.80	Facility	AS	$2,754.23	$2,754.23	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $23,988.33 / $23,988.33	Professional		$19,054.61	$23,988.33	$23,988.33
United Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $18,197.01 / $19,952.62	Facility		$17,378.01	$18,197.01	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $3,801.89 / $16,218.10	Professional		$676.08	$3,801.89	$16,218.10