Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $309.03	Professional		$177.83	$194.98	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Facility		$380.19	$380.19	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $426.58	Professional		$346.74	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $891.25 / $1,905.46	Facility		$245.47	$891.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $549.54 / $724.44	Professional		$177.83	$549.54	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $478.63	Facility		$190.55	$309.03	$478.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $478.63	Professional		$213.80	$380.19	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $1,819.70	Facility		$194.98	$380.19	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $446.68	Professional		$165.96	$208.93	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $275.42	Professional		$54.95	$70.79	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,122.02	Professional		$380.19	$575.44	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $758.58 / $2,238.72	Facility		$245.47	$758.58	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $2,344.23	Professional		$177.83	$354.81	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $575.44	Facility		$162.18	$199.53	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $323.59	Professional		$138.04	$186.21	$323.59