Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $407.38 / $407.38	Facility		$199.53	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $302.00	Professional		$151.36	$223.87	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $741.31	Professional		$117.49	$223.87	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $426.58	Professional		$371.54	$389.05	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $446.68	Facility		$194.98	$269.15	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $1,000.00	Facility		$194.98	$269.15	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $1,230.27	Professional		$218.78	$389.05	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $758.58	Professional		$295.12	$524.81	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,174.90 / $1,174.90	Facility		$524.81	$1,174.90	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,202.26	Professional		$1,023.29	$1,202.26	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $741.31	Professional		$213.80	$323.59	$741.31