Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $17,782.79	Facility		$776.25	$776.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,096.48 / $1,288.25	Professional		$223.87	$1,096.48	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $5,888.44	Professional		$1,096.48	$2,137.96	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $5,128.61	Professional		$1,513.56	$1,513.56	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,454.71	Facility		$776.25	$1,174.90	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $7,762.47	Facility		$912.01	$2,187.76	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $8,912.51	Professional		$1,288.25	$2,290.87	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $6,025.60	Professional		$2,290.87	$4,168.69	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $7,079.46	Facility		$4,570.88	$4,570.88	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $10,232.93 / $10,232.93	Professional		$5,754.40	$10,232.93	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $19,498.45	Facility		$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $4,786.30	Professional		$1,230.27	$2,137.96	$4,786.30