Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $891.25 / $1,412.54	Facility		$295.12	$891.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $1,862.09	Professional		$102.33	$194.98	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $1,023.29	Professional		$239.88	$416.87	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $5,370.32 / $8,912.51	Facility		$147.91	$5,370.32	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $616.60 / $2,511.89	Professional		$147.91	$616.60	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $218.78 / $2,187.76	Facility		$114.82	$218.78	$2,187.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $323.59	Professional		$0.21	$0.21	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $2,187.76	Facility		$69.18	$229.09	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,715.35	Professional		$2,187.76	$2,187.76	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $602.56	Professional		$194.98	$416.87	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $2,187.76	Facility		$147.91	$147.91	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $446.68 / $3,715.35	Professional		$147.91	$446.68	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,951.21	Professional		$2,187.76	$2,187.76	$2,951.21