Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $17,782.79	Facility		$213.80	$213.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $223.87 / $371.54	Professional		$48.98	$223.87	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $29,512.09	Facility		$12,882.50	$17,378.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $446.68 / $912.01	Professional		$47.86	$446.68	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $741.31	Facility		$218.78	$426.58	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $12,589.25 / $21,379.62	Facility		$575.44	$12,589.25	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $338.84	Professional		$63.10	$104.71	$338.84
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 $100.00 / $891.25 / $1,258.93	Professional		$100.00	$891.25	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $24,547.09	Facility		$16,982.44	$16,982.44	$24,547.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $2,691.53 / $2,691.53	Professional		$66.07	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $21,877.62	Facility		$8,709.64	$16,982.44	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $467.74	Professional		$60.26	$165.96	$467.74