Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $17,782.79	Facility		$489.78	$489.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $758.58 / $1,071.52	Professional		$295.12	$758.58	$1,071.52
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 $426.58 / $1,230.27 / $2,951.21	Professional		$426.58	$1,230.27	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $831.76	Professional		$724.44	$831.76	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,096.48	Facility		$489.78	$741.31	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $1,778.28	Facility		$489.78	$933.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $6,025.60	Professional		$457.09	$758.58	$6,025.60
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 $758.58 / $1,348.96 / $1,905.46	Professional		$758.58	$1,348.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $6,025.60	Facility		$1,445.44	$1,445.44	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $6,025.60	Professional		$2,511.89	$5,128.61	$6,025.60
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 $446.68 / $724.44 / $1,737.80	Professional		$446.68	$724.44	$1,737.80