Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $17,782.79	Facility		$891.25	$891.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $1,621.81	Professional		$891.25	$1,412.54	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $7,413.10	Professional		$1,445.44	$2,630.27	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,754.23	Professional		$2,454.71	$2,454.71	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,090.30	Facility		$891.25	$1,698.24	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $9,549.93	Facility		$1,698.24	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $6,760.83	Professional		$1,479.11	$2,630.27	$6,760.83
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 $2,041.74 / $3,715.35 / $5,248.07	Professional		$2,041.74	$3,715.35	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $10,715.19	Facility		$3,981.07	$3,981.07	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $11,220.18 / $11,220.18	Professional		$2,041.74	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $19,498.45	Facility		$2,290.87	$6,606.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $6,165.95	Professional		$1,445.44	$2,238.72	$6,165.95