Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $17,782.79	Facility		$512.86	$512.86	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $512.86	Professional		$239.88	$288.40	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $13,489.63 / $22,908.68	Facility		$5,754.40	$13,489.63	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $724.44	Professional		$660.69	$724.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,445.44	Facility		$776.25	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,047.13	Professional		$478.63	$602.56	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $7,762.47 / $14,454.40	Facility		$302.00	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Professional		$660.69	$660.69	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $8,511.38 / $15,848.93	Facility		$288.40	$8,511.38	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,584.89	Professional		$331.13	$537.03	$1,584.89
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 $407.38 / $602.56 / $831.76	Professional		$407.38	$602.56	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $2,344.23	Facility		$602.56	$602.56	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $1,659.59	Professional		$1,071.52	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,202.26	Professional		$316.23	$524.81	$1,202.26