Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $363.08	Professional		$245.47	$309.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $851.14	Facility		$467.74	$851.14	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $588.84	Professional		$398.11	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,995.26	Facility		$229.09	$229.09	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $602.56 / $912.01	Professional		$229.09	$602.56	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $380.19 / $575.44	Facility		$158.49	$380.19	$575.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $562.34 / $2,137.96	Facility		$158.49	$562.34	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $467.74	Professional		$208.93	$281.84	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $50.12 / $173.78	Professional		$21.38	$50.12	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $141.25	Professional		$61.66	$104.71	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $933.25 / $2,344.23	Facility		$229.09	$933.25	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $194.98 / $316.23	Facility		$23.99	$194.98	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $512.86	Professional		$173.78	$269.15	$512.86