Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $141.25	Professional		$93.33	$109.65	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $295.12	Facility		$162.18	$295.12	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $478.63	Professional		$151.36	$162.18	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $794.33	Facility		$97.72	$97.72	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $316.23	Professional		$97.72	$229.09	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $190.55	Facility		$100.00	$128.82	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $758.58	Facility		$100.00	$186.21	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $181.97	Professional		$77.62	$95.50	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $43.65	Professional		$21.38	$32.36	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $323.59 / $758.58	Facility		$64.57	$323.59	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $69.18 / $125.89	Facility		$7.94	$69.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $181.97	Professional		$63.10	$93.33	$181.97