Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $17,782.79	Facility		$309.03	$309.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $616.60	Professional		$316.23	$501.19	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $2,818.38	Professional		$512.86	$1,023.29	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $2,187.76	Professional		$691.83	$691.83	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $776.25	Facility		$309.03	$501.19	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,162.28 / $8,709.64	Facility		$426.58	$3,162.28	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $3,981.07	Professional		$575.44	$912.01	$3,981.07
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 $707.95 / $1,288.25 / $1,778.28	Professional		$707.95	$1,288.25	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $21,379.62 / $31,622.78	Facility		$11,481.54	$21,379.62	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $3,890.45	Professional		$2,187.76	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $2,137.96	Professional		$549.54	$794.33	$2,137.96