Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $467.74	Facility		$257.04	$467.74	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $323.59	Professional		$194.98	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $977.24	Facility		$162.18	$213.80	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $489.78	Professional		$162.18	$295.12	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $398.11	Facility		$181.97	$302.00	$398.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $1,148.15	Facility		$181.97	$346.74	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $309.03	Professional		$125.89	$186.21	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $181.97	Professional		$50.12	$64.57	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $70.79	Professional		$33.88	$52.48	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $512.86 / $1,148.15	Facility		$162.18	$512.86	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $199.53	Professional		$138.04	$162.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $120.23 / $181.97	Facility		$14.45	$120.23	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $316.23	Professional		$117.49	$186.21	$316.23