Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $575.44 / $575.44	Facility		$199.53	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $363.08	Professional		$81.28	$117.49	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $524.81	Professional		$100.00	$165.96	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $851.14	Facility		$457.09	$537.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $398.11 / $457.09	Professional		$154.88	$398.11	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $436.52	Facility		$100.00	$213.80	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $1,445.44	Facility		$104.71	$181.97	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $660.69 / $660.69	Professional		$38.90	$660.69	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $363.08	Professional		$141.25	$251.19	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,630.27 / $2,630.27	Facility		$251.19	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $524.81 / $660.69	Professional		$165.96	$524.81	$660.69
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 $104.71 / $109.65 / $138.04	Professional		$104.71	$109.65	$138.04