Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $234.42	Facility		$147.91	$186.21	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $288.40	Professional		$131.83	$158.49	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Facility		$302.00	$302.00	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $338.84	Professional		$251.19	$281.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $1,479.11	Facility		$177.83	$691.83	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $426.58 / $575.44	Professional		$128.82	$426.58	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $354.81	Facility		$85.11	$229.09	$354.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $446.68	Professional		$269.15	$363.08	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $1,380.38	Facility		$151.36	$295.12	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $338.84	Professional		$131.83	$158.49	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $85.11	Professional		$29.51	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $831.76	Professional		$302.00	$457.09	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $602.56 / $1,380.38	Facility		$177.83	$602.56	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $1,479.11	Professional		$128.82	$323.59	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $436.52	Facility		$123.03	$154.88	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19