Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $17,782.79	Facility		$1,288.25	$1,288.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,398.83	Professional		$1,318.26	$2,089.30	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $15,135.61 / $26,302.68	Facility		$5,248.07	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,677.35 / $11,748.98	Professional		$2,137.96	$4,677.35	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,162.28	Facility		$1,288.25	$2,089.30	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $7,762.47	Facility		$1,698.24	$2,570.40	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $16,218.10	Professional		$2,344.23	$3,801.89	$16,218.10
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 $2,951.21 / $5,370.32 / $7,413.10	Professional		$2,951.21	$5,370.32	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $40,738.03	Facility		$5,623.41	$5,623.41	$40,738.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $15,848.93 / $15,848.93	Professional		$8,912.51	$15,848.93	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $19,498.45	Facility		$2,290.87	$6,606.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $8,912.51	Professional		$2,290.87	$3,311.31	$8,912.51