Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $380.19	Professional		$194.98	$234.42	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Facility		$457.09	$457.09	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $501.19	Professional		$346.74	$426.58	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,047.13 / $2,238.72	Facility		$251.19	$1,047.13	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $645.65 / $870.96	Professional		$186.21	$645.65	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $562.34	Facility		$223.87	$371.54	$562.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $549.54	Professional		$257.04	$446.68	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $446.68 / $2,137.96	Facility		$229.09	$446.68	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $512.86	Professional		$199.53	$239.88	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $251.19	Professional		$54.95	$70.79	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,288.25	Professional		$457.09	$691.83	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $912.01 / $2,570.40	Facility		$251.19	$912.01	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $2,754.23	Professional		$186.21	$371.54	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $660.69	Facility		$186.21	$239.88	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $380.19	Professional		$158.49	$223.87	$380.19