Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $436.52	Professional		$257.04	$363.08	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $954.99	Facility		$524.81	$954.99	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $660.69	Professional		$446.68	$524.81	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $2,041.74	Facility		$331.13	$436.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,023.29	Professional		$331.13	$630.96	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $489.78 / $776.25	Facility		$316.23	$489.78	$776.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $2,398.83	Facility		$316.23	$676.08	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $537.03	Professional		$251.19	$331.13	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $407.38	Professional		$50.12	$64.57	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $151.36	Professional		$69.18	$112.20	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,047.13 / $2,398.83	Facility		$331.13	$1,047.13	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $407.38	Professional		$281.84	$331.13	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $223.87 / $354.81	Facility		$28.84	$223.87	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $616.60	Professional		$194.98	$309.03	$616.60