Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $275.42	Facility		$234.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $323.59	Professional		$177.83	$234.42	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $794.33	Facility		$478.63	$478.63	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $537.03	Professional		$398.11	$446.68	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,096.48 / $2,344.23	Facility		$288.40	$1,096.48	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $676.08 / $912.01	Professional		$213.80	$676.08	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $588.84	Facility		$208.93	$389.05	$588.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $724.44	Professional		$426.58	$575.44	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $467.74 / $1,995.26	Facility		$239.88	$467.74	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $524.81	Professional		$186.21	$234.42	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $467.74	Professional		$54.95	$70.79	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,174.90	Professional		$478.63	$724.44	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $954.99 / $2,344.23	Facility		$288.40	$954.99	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $3,630.78	Professional		$213.80	$426.58	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $602.56	Facility		$173.78	$218.78	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $389.05	Professional		$154.88	$234.42	$389.05