Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,709.64 / $14,454.40	Facility		$1,905.46	$8,709.64	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $4,265.80 / $12,022.64	Professional		$812.83	$4,265.80	$12,022.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $13,803.84 / $30,199.52	Facility		$3,162.28	$13,803.84	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,370.32	Facility		$2,238.72	$3,090.30	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $25,703.96	Facility		$912.01	$1,737.80	$25,703.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $28,840.32	Professional		$1,412.54	$2,754.23	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Professional		$28,840.32	$28,840.32	$28,840.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $2,818.38	Professional		$2,398.83	$2,511.89	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $27,542.29	Facility		$977.24	$1,698.24	$27,542.29