Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $158.49	Professional		$89.13	$114.82	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $263.03	Professional		$144.54	$218.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $537.03 / $1,148.15	Facility		$112.20	$537.03	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $331.13 / $446.68	Professional		$81.28	$331.13	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $190.55 / $288.40	Facility		$100.00	$190.55	$288.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $275.42	Professional		$131.83	$229.09	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $954.99	Facility		$114.82	$229.09	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $257.04	Professional		$89.13	$114.82	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $104.71	Professional		$54.95	$70.79	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $562.34	Professional		$234.42	$346.74	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $467.74 / $1,122.02	Facility		$112.20	$467.74	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $1,148.15	Professional		$81.28	$162.18	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $295.12	Facility		$83.18	$104.71	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $190.55	Professional		$75.86	$114.82	$190.55