Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $17,782.79	Facility		$338.84	$338.84	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $2,089.30	Professional		$338.84	$562.34	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,791.08 / $16,218.10	Facility		$6,456.54	$14,791.08	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $7,762.47	Professional		$1,096.48	$1,819.70	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,128.61	Professional		$2,454.71	$2,454.71	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,495.41 / $10,232.93	Facility		$524.81	$5,495.41	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,025.60 / $8,709.64	Facility		$602.56	$6,025.60	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,413.10	Professional		$1,995.26	$3,388.44	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $3,801.89	Professional		$741.31	$1,445.44	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $7,079.46	Facility		$1,412.54	$1,412.54	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $7,079.46 / $7,079.46	Professional		$2,290.87	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $9,120.11	Facility		$5,128.61	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,754.23 / $7,943.28	Professional		$851.14	$2,754.23	$7,943.28