Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $218.78	Professional		$112.20	$134.90	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Facility		$263.03	$263.03	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $288.40	Professional		$199.53	$245.47	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $616.60 / $1,288.25	Facility		$169.82	$616.60	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $380.19 / $501.19	Professional		$123.03	$380.19	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $331.13	Facility		$128.82	$213.80	$331.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $316.23	Professional		$147.91	$251.19	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $1,202.26	Facility		$131.83	$257.04	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $295.12	Professional		$114.82	$138.04	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $724.44	Professional		$263.03	$398.11	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $524.81 / $1,202.26	Facility		$169.82	$524.81	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $1,318.26	Professional		$123.03	$245.47	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $380.19	Facility		$107.15	$131.83	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78