Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $17,782.79	Facility		$1,862.09	$1,862.09	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $3,981.07	Professional		$1,905.46	$3,019.95	$3,981.07
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 $3,388.44 / $6,456.54 / $15,135.61	Professional		$3,388.44	$6,456.54	$15,135.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,370.32	Facility		$2,089.30	$2,951.21	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $6,309.57	Facility		$2,754.23	$4,168.69	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $16,982.44	Professional		$3,715.35	$6,309.57	$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 $3,467.37 / $6,918.31 / $9,332.54	Professional		$3,467.37	$6,918.31	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $21,877.62	Facility		$6,918.31	$6,918.31	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $21,877.62 / $21,877.62	Professional		$11,220.18	$21,877.62	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $14,454.40	Professional		$3,388.44	$5,248.07	$14,454.40