Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $17,782.79	Facility		$954.99	$954.99	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,951.21	Professional		$977.24	$1,548.82	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,892.96	Facility		$9,120.11	$12,882.50	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $6,165.95	Professional		$1,737.80	$2,754.23	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $8,128.31	Professional		$2,398.83	$2,398.83	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $7,585.78	Facility		$954.99	$2,041.74	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $17,378.01	Facility		$4,168.69	$10,471.29	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $10,232.93	Professional		$1,862.09	$3,311.31	$10,232.93
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 $3,630.78 / $8,912.51 / $12,882.50	Professional		$3,630.78	$8,912.51	$12,882.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $40,738.03	Facility		$27,542.29	$27,542.29	$40,738.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $27,542.29 / $27,542.29	Professional		$8,128.31	$27,542.29	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $7,762.47	Professional		$1,737.80	$3,548.13	$7,762.47