Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $17,782.79	Facility		$524.81	$524.81	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,096.48	Professional		$524.81	$831.76	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,348.96 / $3,162.28	Professional		$478.63	$1,348.96	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $933.25	Professional		$812.83	$933.25	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,096.48	Facility		$524.81	$794.33	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $954.99 / $1,778.28	Facility		$537.03	$954.99	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,288.25 / $6,456.54	Professional		$213.80	$1,288.25	$6,456.54
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 $794.33 / $1,412.54 / $1,995.26	Professional		$794.33	$1,412.54	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $6,309.57	Facility		$1,513.56	$1,513.56	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $6,309.57	Professional		$2,630.27	$5,128.61	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,122.02 / $2,041.74	Professional		$323.59	$1,122.02	$2,041.74