Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $154.88	Professional		$85.11	$102.33	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $199.53	Professional		$151.36	$165.96	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $416.87 / $891.25	Facility		$109.65	$416.87	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $338.84	Professional		$81.28	$257.04	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $223.87	Facility		$89.13	$144.54	$223.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $316.23	Professional		$158.49	$251.19	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $933.25	Facility		$91.20	$177.83	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $213.80	Professional		$81.28	$104.71	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $120.23	Professional		$54.95	$70.79	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $549.54	Professional		$177.83	$269.15	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $354.81 / $1,023.29	Facility		$109.65	$354.81	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $1,174.90	Professional		$81.28	$162.18	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $288.40	Facility		$81.28	$100.00	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $151.36	Professional		$69.18	$87.10	$151.36