Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $537.03	Facility		$275.42	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $501.19	Professional		$234.42	$295.12	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $933.25	Facility		$562.34	$562.34	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $630.96	Professional		$467.74	$524.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $2,754.23	Facility		$338.84	$1,288.25	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $794.33 / $1,047.13	Professional		$245.47	$794.33	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $660.69	Facility		$275.42	$457.09	$660.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $870.96	Professional		$501.19	$691.83	$870.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $2,570.40	Facility		$275.42	$549.54	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $616.60	Professional		$239.88	$288.40	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $354.81	Professional		$54.95	$70.79	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,548.82	Professional		$562.34	$831.76	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,122.02 / $2,570.40	Facility		$338.84	$1,122.02	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $2,754.23	Professional		$245.47	$489.78	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $794.33	Facility		$223.87	$275.42	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $467.74	Professional		$190.55	$275.42	$467.74