Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $416.87	Professional		$263.03	$338.84	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $912.01	Facility		$549.54	$549.54	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $616.60	Professional		$354.81	$512.86	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,659.59 / $2,630.27	Facility		$338.84	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $933.25	Professional		$338.84	$660.69	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $346.74 / $645.65	Facility		$53.70	$346.74	$645.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $363.08 / $1,621.81	Facility		$53.70	$363.08	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $398.11	Professional		$181.97	$251.19	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $46.77 / $426.58	Professional		$1.07	$46.77	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $173.78	Professional		$67.61	$123.03	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $1,995.26	Facility		$338.84	$575.44	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $338.84 / $338.84	Professional		$40.74	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $186.21 / $316.23	Facility		$26.30	$186.21	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $407.38	Professional		$134.90	$223.87	$407.38