Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $134.90	Facility		$117.49	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $208.93	Professional		$112.20	$123.03	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $263.03	Professional		$199.53	$218.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $549.54 / $1,174.90	Facility		$144.54	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $338.84 / $446.68	Professional		$104.71	$338.84	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $295.12	Facility		$117.49	$190.55	$295.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $416.87	Professional		$213.80	$331.13	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $234.42 / $1,230.27	Facility		$120.23	$234.42	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $281.84	Professional		$104.71	$138.04	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $316.23	Professional		$54.95	$70.79	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $724.44	Professional		$234.42	$354.81	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $467.74 / $1,479.11	Facility		$144.54	$467.74	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $1,479.11	Professional		$104.71	$213.80	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $380.19	Facility		$107.15	$134.90	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $199.53	Professional		$91.20	$114.82	$199.53