Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $309.03	Professional		$151.36	$186.21	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $602.56	Facility		$363.08	$363.08	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $407.38	Professional		$309.03	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $831.76 / $1,778.28	Facility		$199.53	$831.76	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $512.86 / $691.83	Professional		$144.54	$512.86	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $446.68	Facility		$177.83	$295.12	$446.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $537.03	Professional		$323.59	$426.58	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $354.81 / $1,659.59	Facility		$177.83	$354.81	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $398.11	Professional		$154.88	$186.21	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Professional		$54.95	$70.79	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,000.00	Professional		$363.08	$537.03	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $724.44 / $1,659.59	Facility		$199.53	$724.44	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $1,778.28	Professional		$144.54	$288.40	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $512.86	Facility		$144.54	$177.83	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $302.00	Professional		$123.03	$177.83	$302.00