Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $354.81	Professional		$213.80	$302.00	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $794.33	Facility		$436.52	$794.33	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $537.03	Professional		$371.54	$436.52	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $1,737.80	Facility		$275.42	$371.54	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $831.76	Professional		$275.42	$524.81	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $630.96	Facility		$269.15	$446.68	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $1,995.26	Facility		$269.15	$549.54	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $501.19	Professional		$213.80	$295.12	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $354.81	Professional		$50.12	$64.57	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $128.82	Professional		$57.54	$95.50	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $851.14 / $1,995.26	Facility		$275.42	$851.14	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $331.13	Professional		$234.42	$275.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $194.98 / $309.03	Facility		$25.12	$194.98	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $512.86	Professional		$181.97	$295.12	$512.86