Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $467.74	Professional		$234.42	$288.40	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $954.99	Facility		$575.44	$575.44	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $630.96	Professional		$489.78	$537.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,318.26 / $2,818.38	Facility		$316.23	$1,318.26	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $812.83 / $1,096.48	Professional		$229.09	$812.83	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $676.08	Facility		$275.42	$436.52	$676.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $933.25	Professional		$512.86	$741.31	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $2,754.23	Facility		$281.84	$562.34	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $645.65	Professional		$245.47	$295.12	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $263.03	Professional		$54.95	$70.79	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,584.89	Professional		$575.44	$870.96	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,148.15 / $3,162.28	Facility		$316.23	$1,148.15	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $3,890.45	Professional		$229.09	$457.09	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $812.83	Facility		$229.09	$295.12	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $478.63	Professional		$194.98	$281.84	$478.63