Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $1,202.26	Facility		$645.65	$741.31	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $891.25	Professional		$275.42	$467.74	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,398.83 / $4,265.80	Facility		$128.82	$2,398.83	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $707.95	Professional		$275.42	$426.58	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $489.78 / $5,623.41	Facility		$131.83	$489.78	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $1,778.28	Professional		$245.47	$446.68	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $5,495.41	Facility		$3,715.35	$5,495.41	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $1,737.80	Professional		$1,202.26	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,019.95	Facility		$2,884.03	$2,884.03	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $891.25	Professional		$151.36	$309.03	$891.25