Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $263.03	Professional		$165.96	$223.87	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $588.84	Facility		$323.59	$588.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $1,230.27	Facility		$204.17	$275.42	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $616.60	Professional		$204.17	$380.19	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $478.63	Facility		$194.98	$363.08	$478.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $1,479.11	Facility		$194.98	$416.87	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $389.05	Professional		$158.49	$223.87	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $245.47	Professional		$50.12	$64.57	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $93.33	Professional		$42.66	$70.79	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $630.96 / $1,479.11	Facility		$204.17	$630.96	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $245.47	Professional		$173.78	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $144.54 / $218.78	Facility		$18.62	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $389.05	Professional		$141.25	$223.87	$389.05