Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $17,782.79	Facility		$1,318.26	$1,318.26	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,754.23	Professional		$1,380.38	$2,187.76	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $12,022.64	Professional		$2,187.76	$4,897.79	$12,022.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,311.31	Facility		$1,318.26	$2,137.96	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $7,762.47	Facility		$1,698.24	$2,630.27	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $16,982.44	Professional		$2,398.83	$3,981.07	$16,982.44
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 $3,090.30 / $5,495.41 / $7,585.78	Professional		$3,090.30	$5,495.41	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $41,686.94	Facility		$5,754.40	$5,754.40	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $16,595.87 / $16,595.87	Professional		$9,332.54	$16,595.87	$16,595.87
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 $2,398.83 / $3,467.37 / $9,120.11	Professional		$2,398.83	$3,467.37	$9,120.11