Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $407.38	Professional		$213.80	$239.88	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $776.25	Facility		$467.74	$467.74	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $524.81	Professional		$331.13	$436.52	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,071.52 / $2,290.87	Facility		$295.12	$1,071.52	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $660.69 / $891.25	Professional		$213.80	$660.69	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $575.44	Facility		$229.09	$380.19	$575.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $630.96	Professional		$416.87	$524.81	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $2,187.76	Facility		$234.42	$457.09	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $524.81	Professional		$204.17	$251.19	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $309.03	Professional		$54.95	$70.79	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,318.26	Professional		$467.74	$691.83	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $933.25 / $2,691.53	Facility		$295.12	$933.25	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $2,691.53	Professional		$213.80	$436.52	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $691.83	Facility		$194.98	$239.88	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $389.05	Professional		$165.96	$229.09	$389.05