Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $257.04	Professional		$144.54	$194.98	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Facility		$389.05	$389.05	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $436.52	Professional		$295.12	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $912.01 / $1,949.84	Facility		$181.97	$912.01	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $562.34 / $741.31	Professional		$131.83	$562.34	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $489.78	Facility		$162.18	$316.23	$489.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $467.74	Professional		$218.78	$389.05	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $1,659.59	Facility		$194.98	$380.19	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $436.52	Professional		$144.54	$190.55	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $323.59	Professional		$54.95	$70.79	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $912.01	Professional		$389.05	$588.84	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $776.25 / $1,819.70	Facility		$181.97	$776.25	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $2,951.21	Professional		$131.83	$263.03	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $467.74	Facility		$134.90	$169.82	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $316.23	Professional		$128.82	$190.55	$316.23