Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $17,782.79	Facility		$97.72	$97.72	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $173.78	Professional		$97.72	$151.36	$173.78
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 $147.91 / $223.87 / $588.84	Professional		$147.91	$223.87	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $288.40	Professional		$257.04	$288.40	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $316.23	Facility		$97.72	$173.78	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $8,709.64 / $15,848.93	Facility		$169.82	$8,709.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $812.83	Professional		$154.88	$281.84	$812.83
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 $213.80 / $389.05 / $549.54	Professional		$213.80	$389.05	$549.54
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 $338.84 / $1,174.90 / $1,174.90	Professional		$338.84	$1,174.90	$1,174.90
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 $151.36 / $245.47 / $660.69	Professional		$151.36	$245.47	$660.69