Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $17,782.79	Facility		$218.78	$218.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $407.38	Professional		$218.78	$346.74	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $30,902.95	Facility		$13,803.84	$18,620.87	$30,902.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,949.84	Professional		$346.74	$691.83	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $724.44	Facility		$223.87	$416.87	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $20,417.38 / $34,673.69	Facility		$562.34	$20,417.38	$34,673.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,949.84	Professional		$426.58	$707.95	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,230.27	Professional		$602.56	$870.96	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81,283.05 / $81,283.05 / $120,226.44	Facility		$81,283.05	$81,283.05	$120,226.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,630.27 / $2,630.27	Professional		$467.74	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $22,908.68 / $33,113.11	Facility		$14,125.38	$22,908.68	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,584.89	Professional		$389.05	$691.83	$1,584.89