Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $17,782.79	Facility		$602.56	$602.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Professional		$616.60	$977.24	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,882.50 / $21,877.62	Facility		$9,549.93	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $5,011.87	Professional		$1,096.48	$1,548.82	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,344.23	Professional		$2,041.74	$2,344.23	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $2,630.27	Facility		$602.56	$1,380.38	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,585.78 / $13,803.84	Facility		$1,380.38	$7,585.78	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $6,309.57	Professional		$1,258.93	$2,344.23	$6,309.57
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 $1,819.70 / $3,311.31 / $4,570.88	Professional		$1,819.70	$3,311.31	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $21,379.62	Facility		$14,454.40	$14,454.40	$21,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $9,772.37 / $9,772.37	Professional		$2,691.53	$9,772.37	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $5,248.07	Professional		$1,258.93	$2,290.87	$5,248.07