Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $17,782.79	Facility		$165.96	$165.96	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $302.00	Professional		$173.78	$251.19	$302.00
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 $263.03 / $380.19 / $977.24	Professional		$263.03	$380.19	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $524.81	Professional		$467.74	$524.81	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $549.54	Facility		$165.96	$269.15	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $588.84 / $13,489.63	Facility		$223.87	$588.84	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $2,041.74	Professional		$309.03	$549.54	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,071.52	Professional		$426.58	$776.25	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,772.37 / $14,125.38	Facility		$5,128.61	$9,772.37	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $2,187.76	Professional		$1,174.90	$1,288.25	$2,187.76
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 $295.12 / $512.86 / $1,122.02	Professional		$295.12	$512.86	$1,122.02