Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $162.18	Professional		$112.20	$114.82	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $218.78	Facility		$181.97	$208.93	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $234.42 / $407.38	Facility		$120.23	$234.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $147.91	Professional		$114.82	$128.82	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Facility		$112.20	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $181.97 / $269.15	Facility		$97.72	$181.97	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $154.88	Professional		$117.49	$117.49	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $524.81	Facility		$120.23	$120.23	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Professional		$117.49	$117.49	$162.18