Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $17,782.79	Facility		$151.36	$151.36	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $776.25	Professional		$151.36	$245.47	$776.25
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 $363.08 / $660.69 / $3,235.94	Professional		$363.08	$660.69	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,513.56	Professional		$912.01	$912.01	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $489.78	Facility		$151.36	$269.15	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $8,912.51 / $15,848.93	Facility		$269.15	$8,912.51	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $2,454.71	Professional		$741.31	$1,174.90	$2,454.71
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 $331.13 / $660.69 / $1,380.38	Professional		$331.13	$660.69	$1,380.38
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 $1,000.00 / $2,454.71 / $2,454.71	Professional		$1,000.00	$2,454.71	$2,454.71
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 $380.19 / $1,023.29 / $2,511.89	Professional		$380.19	$1,023.29	$2,511.89