Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $17,782.79	Facility		$363.08	$363.08	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $363.08	Professional		$173.78	$204.17	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $22,908.68	Facility		$6,456.54	$14,125.38	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $512.86	Professional		$467.74	$512.86	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $7,762.47 / $14,454.40	Facility		$213.80	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Professional		$489.78	$489.78	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $12,302.69 / $19,952.62	Facility		$208.93	$12,302.69	$19,952.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $1,122.02	Professional		$234.42	$371.54	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $616.60	Professional		$302.00	$436.52	$616.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $1,698.24	Facility		$436.52	$436.52	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,174.90	Professional		$776.25	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $14,125.38 / $20,417.38	Facility		$8,709.64	$14,125.38	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $851.14	Professional		$229.09	$371.54	$851.14