Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $204.17	Facility		$91.20	$91.20	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $295.12	Professional		$91.20	$123.03	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $549.54	Professional		$158.49	$295.12	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $489.78 / $794.33	Facility		$134.90	$489.78	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $331.13	Professional		$134.90	$223.87	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $346.74	Facility		$97.72	$154.88	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $346.74	Facility		$117.49	$154.88	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,023.29	Professional		$257.04	$257.04	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $263.03	Professional		$32.36	$58.88	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $512.86	Professional		$245.47	$371.54	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $1,023.29	Facility		$134.90	$134.90	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $794.33 / $1,023.29	Professional		$134.90	$794.33	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $354.81	Professional		$257.04	$257.04	$354.81