Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $229.09	Professional		$123.03	$151.36	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Facility		$302.00	$302.00	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $281.84 / $338.84	Professional		$275.42	$281.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $691.83 / $1,479.11	Facility		$190.55	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $426.58 / $575.44	Professional		$138.04	$426.58	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $371.54	Facility		$144.54	$245.47	$371.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $501.19	Professional		$269.15	$398.11	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $1,348.96	Facility		$151.36	$295.12	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $338.84	Professional		$125.89	$154.88	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $181.97	Professional		$54.95	$70.79	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $812.83	Professional		$302.00	$457.09	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $602.56 / $1,445.44	Facility		$190.55	$602.56	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $1,479.11	Professional		$138.04	$275.42	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $426.58	Facility		$120.23	$147.91	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $245.47	Professional		$102.33	$147.91	$245.47