Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $17,782.79	Facility		$309.03	$309.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $575.44	Professional		$309.03	$501.19	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $2,691.53	Professional		$741.31	$1,148.15	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,000.00	Professional		$870.96	$870.96	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $933.25	Facility		$316.23	$537.03	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $20,417.38 / $31,622.78	Facility		$724.44	$20,417.38	$31,622.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $2,691.53	Professional		$602.56	$977.24	$2,691.53
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 $758.58 / $1,122.02 / $1,584.89	Professional		$758.58	$1,122.02	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $57,543.99 / $87,096.36	Facility		$57,543.99	$57,543.99	$87,096.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,388.44 / $3,388.44	Professional		$691.83	$3,388.44	$3,388.44
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 $562.34 / $977.24 / $2,238.72	Professional		$562.34	$977.24	$2,238.72