Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $144.54	Professional		$91.20	$125.89	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $338.84	Facility		$186.21	$338.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $251.19	Professional		$173.78	$186.21	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $724.44	Facility		$114.82	$144.54	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $363.08	Professional		$114.82	$218.78	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $257.04	Facility		$107.15	$194.98	$257.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $812.83	Facility		$107.15	$223.87	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $54.95 / $134.90	Professional		$12.02	$54.95	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $51.29	Professional		$24.55	$38.90	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $371.54 / $812.83	Facility		$114.82	$371.54	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $138.04	Professional		$97.72	$114.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $77.62 / $123.03	Facility		$10.23	$77.62	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $213.80	Professional		$74.13	$120.23	$213.80