Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $346.74 / $380.19	Facility		$95.50	$346.74	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $141.25	Professional		$70.79	$95.50	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $316.23	Facility		$194.98	$194.98	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $213.80	Professional		$173.78	$177.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $446.68 / $954.99	Facility		$117.49	$446.68	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $275.42 / $363.08	Professional		$85.11	$275.42	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $229.09	Facility		$58.88	$144.54	$229.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $281.84	Professional		$173.78	$229.09	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $794.33	Facility		$95.50	$190.55	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $213.80	Professional		$72.44	$95.50	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $478.63	Professional		$194.98	$288.40	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $380.19 / $891.25	Facility		$117.49	$380.19	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $891.25	Professional		$85.11	$169.82	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $245.47	Facility		$69.18	$87.10	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $158.49	Professional		$63.10	$95.50	$158.49