Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $204.17	Professional		$123.03	$181.97	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $501.19	Facility		$275.42	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $346.74	Professional		$208.93	$275.42	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $1,318.26	Facility		$173.78	$173.78	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $537.03	Professional		$173.78	$380.19	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $138.04 / $275.42	Facility		$28.18	$138.04	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $204.17 / $1,318.26	Facility		$30.90	$204.17	$1,318.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $229.09	Professional		$95.50	$134.90	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $89.13	Professional		$12.59	$22.39	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $75.86	Professional		$30.90	$57.54	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $1,380.38	Facility		$173.78	$467.74	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $173.78 / $173.78	Professional		$19.95	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $102.33 / $186.21	Facility		$12.59	$102.33	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $239.88	Professional		$83.18	$134.90	$239.88