Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $17,782.79	Facility		$158.49	$158.49	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $302.00	Professional		$162.18	$257.04	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,202.26	Professional		$257.04	$489.78	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,174.90	Professional		$354.81	$354.81	$1,174.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $549.54	Facility		$158.49	$295.12	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,202.26 / $2,041.74	Facility		$295.12	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,479.11	Professional		$288.40	$512.86	$1,479.11
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 $363.08 / $660.69 / $933.25	Professional		$363.08	$660.69	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,659.59	Facility		$707.95	$707.95	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $1,995.26	Professional		$1,122.02	$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 $269.15 / $436.52 / $1,174.90	Professional		$269.15	$436.52	$1,174.90