Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $17,782.79	Facility		$223.87	$223.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $912.01	Professional		$223.87	$363.08	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $3,981.07	Professional		$794.33	$1,513.56	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $1,096.48	Facility		$223.87	$416.87	$1,096.48
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 $977.24 / $1,621.81 / $4,466.84	Professional		$977.24	$1,621.81	$4,466.84
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 $588.84 / $1,047.13 / $1,659.59	Professional		$588.84	$1,047.13	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $39,810.72	Facility		$26,915.35	$26,915.35	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $5,011.87 / $5,011.87	Professional		$1,071.52	$5,011.87	$5,011.87
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 $549.54 / $1,584.89 / $3,630.78	Professional		$549.54	$1,584.89	$3,630.78