Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $6,165.95	Facility		$4,786.30	$6,025.60	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $10,964.78	Facility		$4,570.88	$5,248.07	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $4,265.80	Professional		$2,570.40	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,819.70 / $2,754.23	Facility		$912.01	$1,819.70	$2,754.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $2,691.53	Professional		$1,258.93	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $8,709.64	Facility		$1,122.02	$2,187.76	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,511.89	Professional		$870.96	$1,230.27	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,288.25	Professional		$54.95	$70.79	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $10,471.29	Facility		$1,412.54	$4,466.84	$10,471.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $12,589.25	Professional		$1,047.13	$2,344.23	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,691.53	Facility		$977.24	$1,230.27	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,819.70	Professional		$741.31	$1,096.48	$1,819.70