Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $173.78	Professional		$120.23	$123.03	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $295.12	Facility		$245.47	$281.84	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $194.98	Facility		$72.44	$128.82	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $151.36	Facility		$120.23	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $151.36	Facility		$120.23	$131.83	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $162.18	Professional		$125.89	$125.89	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,445.44	Facility		$128.82	$128.82	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82