Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $17,782.79	Facility		$794.33	$794.33	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,412.54	Professional		$812.83	$1,288.25	$1,412.54
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 $1,288.25 / $2,454.71 / $6,456.54	Professional		$1,288.25	$2,454.71	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,888.44	Professional		$1,737.80	$1,737.80	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,949.84	Facility		$794.33	$1,288.25	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $15,135.61	Facility		$1,096.48	$2,570.40	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $10,000.00	Professional		$1,445.44	$2,398.83	$10,000.00
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 $1,737.80 / $3,090.30 / $4,365.16	Professional		$1,737.80	$3,090.30	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $16,218.10	Facility		$3,311.31	$3,311.31	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $9,332.54 / $9,332.54	Professional		$5,248.07	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,495.41	Professional		$1,412.54	$2,089.30	$5,495.41