Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $17,782.79	Facility		$208.93	$208.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $426.58	Professional		$213.80	$316.23	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $1,348.96	Professional		$288.40	$524.81	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $537.03	Professional		$467.74	$537.03	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $549.54	Facility		$213.80	$338.84	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $11,481.54	Facility		$251.19	$588.84	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $2,570.40	Professional		$295.12	$457.09	$2,570.40
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 $407.38 / $724.44 / $1,023.29	Professional		$407.38	$724.44	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,398.83	Professional		$954.99	$1,288.25	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $912.01	Professional		$288.40	$426.58	$912.01