Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $17,782.79	Facility		$3,162.28	$3,162.28	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,073.80	Professional		$3,162.28	$3,162.28	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $3,090.30	Professional		$1,122.02	$2,290.87	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $10,000.00	Facility		$3,162.28	$3,162.28	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $7,762.47	Facility		$2,818.38	$3,162.28	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Professional		$42,657.95	$42,657.95	$42,657.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $1,905.46	Professional		$32.36	$54.95	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $25,703.96	Facility		$25,703.96	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Professional		$43,651.58	$43,651.58	$43,651.58
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 $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67