Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $17,782.79	Facility		$234.42	$234.42	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $446.68	Professional		$234.42	$371.54	$446.68
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 $380.19 / $741.31 / $2,137.96	Professional		$380.19	$741.31	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $724.44	Facility		$234.42	$416.87	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $20,417.38 / $34,673.69	Facility		$575.44	$20,417.38	$34,673.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,187.76	Professional		$478.63	$776.25	$2,187.76
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 $72,443.60 / $72,443.60 / $107,151.93	Facility		$72,443.60	$72,443.60	$107,151.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,630.27 / $2,630.27	Professional		$524.81	$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 $436.52 / $776.25 / $1,778.28	Professional		$436.52	$776.25	$1,778.28