Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $17,782.79	Facility		$208.93	$208.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $457.09	Professional		$208.93	$338.84	$457.09
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 $389.05 / $660.69 / $2,187.76	Professional		$389.05	$660.69	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $398.11 / $691.83	Facility		$208.93	$398.11	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $12,589.25 / $21,379.62	Facility		$537.03	$12,589.25	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,187.76	Professional		$489.78	$794.33	$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 $549.54 / $831.76 / $1,148.15	Professional		$549.54	$831.76	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $38,018.94	Facility		$25,703.96	$25,703.96	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,187.76 / $2,187.76	Professional		$537.03	$2,187.76	$2,187.76
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 $436.52 / $794.33 / $1,819.70	Professional		$436.52	$794.33	$1,819.70