Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $380.19	Professional		$239.88	$323.59	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $891.25	Facility		$489.78	$891.25	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $616.60	Professional		$371.54	$489.78	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,949.84	Facility		$331.13	$331.13	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $954.99	Professional		$331.13	$602.56	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $588.84	Facility		$323.59	$512.86	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $575.44 / $2,238.72	Facility		$323.59	$575.44	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $467.74	Professional		$213.80	$288.40	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $302.00	Professional		$50.12	$64.57	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $154.88	Professional		$64.57	$114.82	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $977.24 / $2,290.87	Facility		$64.57	$977.24	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $380.19	Professional		$281.84	$331.13	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $208.93 / $363.08	Facility		$25.12	$208.93	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $501.19	Professional		$186.21	$281.84	$501.19