Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $194.98	Professional		$85.11	$100.00	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Facility		$181.97	$181.97	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $204.17	Professional		$154.88	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $426.58 / $912.01	Facility		$117.49	$426.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $263.03 / $346.74	Professional		$85.11	$263.03	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $213.80	Facility		$57.54	$144.54	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $331.13	Professional		$162.18	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $954.99	Facility		$91.20	$181.97	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $213.80	Professional		$83.18	$104.71	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $91.20	Professional		$54.95	$70.79	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $562.34	Professional		$181.97	$275.42	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $363.08 / $954.99	Facility		$117.49	$363.08	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $1,148.15	Professional		$85.11	$169.82	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $295.12	Facility		$77.62	$95.50	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $154.88	Professional		$70.79	$89.13	$154.88