Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $17,782.79	Facility		$263.03	$263.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $501.19	Professional		$269.15	$426.58	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $2,089.30	Professional		$407.38	$812.83	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $562.34	Facility		$275.42	$426.58	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $6,309.57	Facility		$288.40	$489.78	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $3,162.28	Professional		$457.09	$724.44	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,445.44	Professional		$562.34	$1,000.00	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,890.45	Facility		$1,096.48	$1,096.48	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,090.30 / $3,090.30	Professional		$912.01	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,659.59	Professional		$436.52	$616.60	$1,659.59