Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $17,782.79	Facility		$37.15	$37.15	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $131.83	Professional		$37.15	$57.54	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $229.09	Professional		$56.23	$85.11	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $112.20	Professional		$97.72	$112.20	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $89.13	Facility		$38.02	$57.54	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $8,709.64 / $15,848.93	Facility		$51.29	$8,709.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $288.40	Professional		$32.36	$79.43	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $141.25	Professional		$52.48	$95.50	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $14,125.38	Facility		$9,772.37	$9,772.37	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $851.14 / $851.14	Professional		$128.82	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $245.47	Professional		$32.36	$79.43	$245.47