Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $338.84	Professional		$213.80	$263.03	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $891.25	Professional		$269.15	$467.74	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $912.01	Professional		$354.81	$794.33	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $288.40 / $346.74	Facility		$263.03	$288.40	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $1,548.82	Facility		$263.03	$346.74	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $977.24	Professional		$281.84	$398.11	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $58.88	Professional		$50.12	$50.12	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $912.01	Professional		$467.74	$691.83	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,778.28	Facility		$549.54	$549.54	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $275.42	Facility		$144.54	$144.54	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $977.24	Professional		$281.84	$457.09	$977.24