Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $239.88	Professional		$134.90	$158.49	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $478.63	Facility		$288.40	$288.40	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $316.23	Professional		$218.78	$269.15	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $660.69 / $1,412.54	Facility		$169.82	$660.69	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $407.38 / $549.54	Professional		$125.89	$407.38	$549.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $354.81	Facility		$144.54	$234.42	$354.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $512.86	Professional		$257.04	$407.38	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $1,445.44	Facility		$144.54	$281.84	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $338.84	Professional		$125.89	$162.18	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $134.90	Professional		$54.95	$70.79	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $851.14	Professional		$288.40	$436.52	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $575.44 / $1,737.80	Facility		$169.82	$575.44	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $2,398.83	Professional		$125.89	$251.19	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $446.68	Facility		$125.89	$158.49	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $245.47	Professional		$107.15	$141.25	$245.47