Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $295.12	Professional		$147.91	$165.96	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Facility		$257.04	$257.04	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $288.40	Professional		$239.88	$257.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,023.29 / $1,445.44	Facility		$309.03	$1,023.29	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $478.63	Professional		$229.09	$426.58	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $380.19	Facility		$154.88	$251.19	$380.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $416.87	Professional		$251.19	$380.19	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $288.40 / $1,258.93	Facility		$154.88	$288.40	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $512.86	Professional		$208.93	$251.19	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $229.09	Professional		$54.95	$70.79	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $575.44	Professional		$208.93	$302.00	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,258.93	Facility		$309.03	$501.19	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $2,238.72	Professional		$229.09	$407.38	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $630.96	Facility		$199.53	$229.09	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $371.54	Professional		$151.36	$229.09	$371.54