Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $389.05	Facility		$199.53	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $302.00	Professional		$173.78	$208.93	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $1,023.29	Professional		$162.18	$295.12	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $338.84	Professional		$269.15	$288.40	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $588.84	Facility		$190.55	$389.05	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $933.25	Facility		$190.55	$269.15	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $1,288.25	Professional		$109.65	$190.55	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $660.69	Professional		$263.03	$457.09	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,630.27 / $2,630.27	Facility		$467.74	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,288.25 / $1,288.25	Professional		$338.84	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Facility		$275.42	$275.42	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $380.19	Professional		$109.65	$165.96	$380.19