Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $194.98	Professional		$104.71	$120.23	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Facility		$229.09	$229.09	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $257.04	Professional		$208.93	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $524.81 / $1,122.02	Facility		$141.25	$524.81	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $323.59 / $436.52	Professional		$102.33	$323.59	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $281.84	Facility		$114.82	$186.21	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $354.81	Professional		$204.17	$288.40	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $1,258.93	Facility		$114.82	$223.87	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $269.15	Professional		$102.33	$131.83	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $91.20	Professional		$54.95	$70.79	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $707.95	Professional		$229.09	$346.74	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $457.09 / $1,445.44	Facility		$141.25	$457.09	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $3,467.37	Professional		$102.33	$204.17	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $371.54	Facility		$104.71	$131.83	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $194.98	Professional		$89.13	$112.20	$194.98