Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $17,782.79	Facility		$173.78	$173.78	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $467.74	Professional		$173.78	$281.84	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,862.09	Professional		$398.11	$562.34	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Professional		$524.81	$524.81	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $426.58	Facility		$173.78	$302.00	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,202.26 / $1,778.28	Facility		$269.15	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $2,041.74	Professional		$426.58	$707.95	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $912.01	Professional		$309.03	$660.69	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $1,995.26	Facility		$707.95	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,995.26 / $1,995.26	Professional		$954.99	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,412.54	Professional		$346.74	$602.56	$1,412.54