Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $17,782.79	Facility		$213.80	$213.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $407.38	Professional		$213.80	$346.74	$407.38
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 $331.13 / $676.08 / $2,041.74	Professional		$331.13	$676.08	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $7,943.28 / $14,454.40	Facility		$398.11	$7,943.28	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $8,128.31 / $12,589.25	Facility		$537.03	$8,128.31	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,862.09	Professional		$416.87	$676.08	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,174.90	Professional		$562.34	$831.76	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,238.72	Facility		$870.96	$870.96	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,511.89 / $2,511.89	Professional		$478.63	$2,511.89	$2,511.89
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 $389.05 / $676.08 / $1,513.56	Professional		$389.05	$676.08	$1,513.56