Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $309.03	Facility		$181.97	$281.84	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $371.54	Professional		$141.25	$169.82	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Facility		$323.59	$323.59	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $363.08	Professional		$288.40	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $741.31 / $1,584.89	Facility		$177.83	$741.31	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $457.09 / $616.60	Professional		$128.82	$457.09	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $380.19	Facility		$112.20	$245.47	$380.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $489.78	Professional		$288.40	$389.05	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $1,479.11	Facility		$158.49	$316.23	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $354.81	Professional		$141.25	$165.96	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $128.82	Professional		$54.95	$70.79	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $891.25	Professional		$323.59	$489.78	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $1,479.11	Facility		$177.83	$645.65	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $1,584.89	Professional		$128.82	$346.74	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $457.09	Facility		$131.83	$165.96	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $269.15	Professional		$109.65	$158.49	$269.15