Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $17,782.79	Facility		$1,202.26	$1,202.26	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $7,943.28	Professional		$1,202.26	$1,862.09	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $8,317.64	Professional		$1,318.26	$2,951.21	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,128.31 / $15,135.61	Facility		$2,570.40	$8,128.31	$15,135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $16,218.10	Facility		$2,187.76	$4,786.30	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,585.78	Professional		$1,513.56	$2,818.38	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $18,197.01 / $25,118.86	Professional		$5,370.32	$18,197.01	$25,118.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,417.38 / $64,565.42	Facility		$20,417.38	$20,417.38	$64,565.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $57,543.99 / $57,543.99	Professional		$3,019.95	$57,543.99	$57,543.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $7,943.28	Professional		$1,513.56	$4,265.80	$7,943.28