Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $147.91	Professional		$91.20	$123.03	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $323.59	Facility		$177.83	$323.59	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $223.87	Professional		$158.49	$177.83	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $724.44	Facility		$114.82	$151.36	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $346.74	Professional		$114.82	$218.78	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $263.03	Facility		$123.03	$223.87	$263.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $831.76	Facility		$123.03	$234.42	$831.76
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 $50.12 / $64.57 / $165.96	Professional		$50.12	$64.57	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $51.29	Professional		$23.44	$38.90	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $354.81 / $831.76	Facility		$114.82	$354.81	$831.76
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 $10.00 / $77.62 / $120.23	Facility		$10.00	$77.62	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80