Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $17,782.79	Facility		$58.88	$58.88	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $112.20	Professional		$58.88	$95.50	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $331.13	Professional		$95.50	$134.90	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $190.55	Professional		$165.96	$190.55	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $194.98	Facility		$60.26	$97.72	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $1,778.28	Facility		$83.18	$194.98	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $776.25	Professional		$104.71	$177.83	$776.25
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 $141.25 / $251.19 / $346.74	Professional		$141.25	$251.19	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $616.60	Facility		$263.03	$263.03	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $758.58	Professional		$371.54	$467.74	$758.58
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 $104.71 / $154.88 / $446.68	Professional		$104.71	$154.88	$446.68