Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $31,622.78 / $31,622.78	Facility		$741.31	$31,622.78	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $812.83	Professional		$741.31	$758.58	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,023.29	Facility		$851.14	$1,000.00	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $575.44 / $812.83	Facility		$275.42	$575.44	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $933.25	Facility		$741.31	$758.58	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $933.25	Facility		$501.19	$758.58	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,621.81	Professional		$776.25	$776.25	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,818.38	Facility		$812.83	$812.83	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $4,168.69	Professional		$812.83	$812.83	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $501.19	Facility		$457.09	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Professional		$794.33	$794.33	$1,096.48