Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $204.17	Professional		$120.23	$162.18	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $645.65	Professional		$208.93	$323.59	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $912.01	Facility		$489.78	$575.44	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $446.68	Professional		$218.78	$269.15	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $389.05	Facility		$128.82	$204.17	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $389.05	Facility		$128.82	$204.17	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $512.86	Professional		$165.96	$251.19	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $588.84	Professional		$275.42	$416.87	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,071.52 / $1,071.52	Facility		$331.13	$1,071.52	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $537.03	Professional		$165.96	$257.04	$537.03