Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $17,782.79	Facility		$645.65	$645.65	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,230.27	Professional		$645.65	$1,047.13	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $6,165.95	Professional		$1,047.13	$2,398.83	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $2,238.72	Facility		$645.65	$1,288.25	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $12,589.25 / $22,908.68	Facility		$1,737.80	$12,589.25	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $5,888.44	Professional		$1,318.26	$2,137.96	$5,888.44
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 $1,778.28 / $2,630.27 / $3,715.35	Professional		$1,778.28	$2,630.27	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $14,125.38	Facility		$2,818.38	$2,818.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $7,943.28	Professional		$4,466.84	$7,943.28	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $4,786.30	Professional		$1,230.27	$2,137.96	$4,786.30