Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $30,902.95	Facility		$13,803.84	$18,197.01	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $28,183.83 / $44,668.36	Facility		$23,988.33	$28,183.83	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $31,622.78	Professional		$1,380.38	$2,290.87	$31,622.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $16,595.87	Facility		$933.25	$7,943.28	$16,595.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $25,118.86	Professional		$1,548.82	$2,344.23	$25,118.86
DeanCare Facility/Professional Professional Modifier 80 Low / Median / High Price $245.47 / $371.54 / $3,981.07	Professional	80	$245.47	$371.54	$3,981.07
DeanCare Facility/Professional Professional Modifier AS Low / Median / High Price $213.80 / $331.13 / $3,467.37	Professional	AS	$213.80	$331.13	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $12,302.69 / $22,387.21	Facility		$758.58	$12,302.69	$22,387.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $22,908.68 / $56,234.13	Professional		$13,182.57	$22,908.68	$56,234.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $14,791.08	Professional		$32.36	$50.12	$14,791.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $67,608.30	Facility		$45,708.82	$45,708.82	$67,608.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54,954.09 / $60,255.96 / $60,255.96	Professional		$54,954.09	$60,255.96	$60,255.96
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 $954.99 / $7,762.47 / $45,708.82	Professional		$954.99	$7,762.47	$45,708.82