Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $17,782.79	Facility		$181.97	$181.97	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $331.13	Professional		$190.55	$281.84	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $1,513.56	Professional		$281.84	$398.11	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $371.54	Facility		$181.97	$295.12	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $5,248.07	Facility		$194.98	$323.59	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $2,238.72	Professional		$309.03	$489.78	$2,238.72
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 $426.58 / $724.44 / $1,071.52	Professional		$426.58	$724.44	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,897.79	Facility		$3,311.31	$3,311.31	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,290.87 / $2,290.87	Professional		$691.83	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,096.48	Professional		$288.40	$416.87	$1,096.48