Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $17,782.79	Facility		$416.87	$416.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $724.44	Professional		$223.87	$616.60	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $26,302.68	Facility		$11,748.98	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,318.26 / $3,162.28	Professional		$575.44	$1,318.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $2,630.27	Professional		$776.25	$776.25	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $1,047.13	Facility		$426.58	$645.65	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $7,762.47	Facility		$489.78	$1,412.54	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $5,495.41	Professional		$501.19	$1,047.13	$5,495.41
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 $933.25 / $1,659.59 / $2,344.23	Professional		$933.25	$1,659.59	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,073.80	Facility		$1,778.28	$1,778.28	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $5,011.87	Professional		$2,818.38	$5,011.87	$5,011.87
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 $537.03 / $933.25 / $2,454.71	Professional		$537.03	$933.25	$2,454.71