Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $9,120.11 / $14,454.40	Facility		$7,762.47	$9,120.11	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $10,471.29	Professional		$812.83	$1,479.11	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,918.31 / $13,489.63	Facility		$588.84	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $8,128.31	Professional		$977.24	$1,479.11	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $8,709.64 / $16,595.87	Facility		$478.63	$8,709.64	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,244.36 / $18,197.01	Professional		$4,073.80	$7,244.36	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $5,248.07	Professional		$32.36	$50.12	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $20,417.38	Facility		$14,125.38	$14,125.38	$20,417.38
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $2,818.38 / $2,818.38 / $4,168.69	Facility	53	$2,818.38	$2,818.38	$4,168.69
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Facility	AS	$1,412.54	$1,412.54	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $19,952.62 / $19,952.62	Professional		$16,595.87	$19,952.62	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $14,125.38 / $15,488.17	Facility		$13,489.63	$14,125.38	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,467.37 / $13,803.84	Professional		$602.56	$3,467.37	$13,803.84