Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $17,782.79	Facility		$154.88	$154.88	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $288.40	Professional		$162.18	$251.19	$288.40
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 $257.04 / $489.78 / $1,258.93	Professional		$257.04	$489.78	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $389.05	Facility		$154.88	$275.42	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,691.53 / $7,943.28	Facility		$257.04	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $1,445.44	Professional		$281.84	$512.86	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $851.14	Professional		$338.84	$602.56	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,041.74 / $2,041.74	Facility		$575.44	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,412.54	Professional		$1,047.13	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $1,122.02	Professional		$263.03	$436.52	$1,122.02