Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $17,782.79	Facility		$380.19	$380.19	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $616.60	Professional		$218.78	$380.19	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $1,548.82	Professional		$218.78	$416.87	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $776.25	Facility		$302.00	$446.68	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $8,128.31 / $12,589.25	Facility		$741.31	$8,128.31	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $1,288.25	Professional		$288.40	$446.68	$1,288.25
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 $457.09 / $912.01 / $1,288.25	Professional		$457.09	$912.01	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $10,964.78	Facility		$7,585.78	$7,585.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $3,467.37 / $3,467.37	Professional		$302.00	$3,467.37	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $660.69 / $1,047.13	Professional		$275.42	$660.69	$1,047.13