Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $338.84	Professional		$295.12	$295.12	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Facility		$323.59	$562.34	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $346.74	Professional		$275.42	$323.59	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $346.74	Facility		$295.12	$346.74	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $331.13	Facility		$281.84	$331.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $478.63	Professional		$302.00	$338.84	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $1,000.00	Facility		$295.12	$323.59	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $512.86	Professional		$302.00	$338.84	$512.86