Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $660.69 / $707.95	Facility		$109.65	$660.69	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $169.82	Professional		$93.33	$114.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Facility		$223.87	$223.87	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $251.19	Professional		$186.21	$204.17	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $512.86 / $1,096.48	Facility		$138.04	$512.86	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $316.23 / $416.87	Professional		$100.00	$316.23	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $275.42	Facility		$107.15	$177.83	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $354.81	Professional		$194.98	$281.84	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $977.24	Facility		$109.65	$218.78	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $245.47	Professional		$89.13	$114.82	$245.47
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 $223.87 / $331.13 / $602.56	Professional		$223.87	$331.13	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $446.68 / $977.24	Facility		$138.04	$446.68	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $1,258.93	Professional		$100.00	$204.17	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $316.23	Facility		$89.13	$102.33	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $181.97	Professional		$75.86	$109.65	$181.97