Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $17,782.79	Facility		$234.42	$234.42	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $912.01	Professional		$234.42	$389.05	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $30,199.52	Facility		$12,589.25	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $4,168.69	Professional		$707.95	$1,096.48	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $724.44	Facility		$234.42	$416.87	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $20,417.38 / $34,673.69	Facility		$575.44	$20,417.38	$34,673.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $3,715.35	Professional		$1,023.29	$1,584.89	$3,715.35
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 $602.56 / $1,047.13 / $1,621.81	Professional		$602.56	$1,047.13	$1,621.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72,443.60 / $72,443.60 / $107,151.93	Facility		$72,443.60	$72,443.60	$107,151.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $3,715.35	Professional		$1,071.52	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $22,908.68 / $33,113.11	Facility		$14,125.38	$22,908.68	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,584.89 / $3,548.13	Professional		$549.54	$1,584.89	$3,548.13