Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $17,782.79	Facility		$190.55	$190.55	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $363.08	Professional		$194.98	$302.00	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $1,513.56	Professional		$309.03	$588.84	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,047.13	Professional		$426.58	$426.58	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $6,918.31 / $13,182.57	Facility		$288.40	$6,918.31	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,691.53 / $7,943.28	Facility		$316.23	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $2,454.71	Professional		$338.84	$630.96	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,096.48	Professional		$436.52	$776.25	$1,096.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,290.87 / $2,290.87	Facility		$831.76	$2,290.87	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $2,398.83	Professional		$1,047.13	$2,398.83	$2,398.83
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 $331.13 / $549.54 / $1,380.38	Professional		$331.13	$549.54	$1,380.38