Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $218.78	Professional		$158.49	$177.83	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $154.88 / $213.80	Professional		$53.70	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,096.48	Facility		$562.34	$741.31	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $302.00 / $416.87	Professional		$44.67	$302.00	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $275.42	Facility		$158.49	$194.98	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $281.84	Facility		$162.18	$194.98	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $316.23	Facility		$64.57	$64.57	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18