Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $162.18	Professional		$104.71	$144.54	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $389.05	Facility		$213.80	$389.05	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $269.15	Professional		$177.83	$213.80	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $851.14	Facility		$131.83	$144.54	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $416.87	Professional		$131.83	$257.04	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $281.84	Facility		$134.90	$194.98	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $933.25	Facility		$134.90	$245.47	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $223.87	Professional		$95.50	$117.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $58.88 / $169.82	Professional		$10.00	$58.88	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $57.54	Professional		$28.18	$43.65	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $426.58 / $954.99	Facility		$131.83	$426.58	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $154.88	Professional		$112.20	$131.83	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $85.11 / $141.25	Facility		$10.72	$85.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $234.42	Professional		$70.79	$114.82	$234.42