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 $257.04 / $316.23 / $416.87	Professional		$257.04	$316.23	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $870.96	Facility		$524.81	$524.81	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $588.84	Professional		$302.00	$489.78	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Facility		$1,380.38	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $891.25	Professional		$602.56	$724.44	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $489.78	Facility		$40.74	$58.88	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $501.19	Facility		$40.74	$63.10	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $316.23	Professional		$26.30	$43.65	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $48.98 / $389.05	Professional		$0.98	$48.98	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $158.49	Professional		$61.66	$114.82	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $239.88 / $501.19	Facility		$64.57	$239.88	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $83.18 / $371.54	Facility		$23.44	$83.18	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $389.05	Professional		$26.30	$47.86	$389.05