Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $23,988.33 / $34,673.69	Facility		$1,096.48	$23,988.33	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,778.28	Professional		$1,096.48	$1,096.48	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,302.69 / $20,417.38	Facility		$9,120.11	$12,302.69	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $977.24	Professional		$691.83	$870.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $9,549.93	Facility		$1,096.48	$1,096.48	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $14,791.08	Facility		$1,096.48	$1,148.15	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $676.08	Professional		$32.36	$58.88	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $3,715.35 / $3,715.35	Professional		$933.25	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10