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 $186.21 / $204.17 / $331.13	Professional		$186.21	$204.17	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Facility		$389.05	$389.05	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $426.58	Professional		$295.12	$363.08	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $891.25 / $1,905.46	Facility		$234.42	$891.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $549.54 / $724.44	Professional		$173.78	$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 $346.74 / $575.44 / $724.44	Professional		$346.74	$575.44	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $2,089.30	Facility		$194.98	$380.19	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $457.09	Professional		$169.82	$223.87	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $177.83	Professional		$54.95	$70.79	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,202.26	Professional		$389.05	$588.84	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $776.25 / $2,398.83	Facility		$234.42	$776.25	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $3,981.07	Professional		$173.78	$346.74	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $616.60	Facility		$173.78	$218.78	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $323.59	Professional		$147.91	$190.55	$323.59