Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $177.83	Facility		$114.82	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $181.97	Professional		$100.00	$120.23	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $389.05	Facility		$234.42	$234.42	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $257.04	Professional		$158.49	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $537.03 / $1,148.15	Facility		$125.89	$537.03	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $331.13 / $436.52	Professional		$91.20	$331.13	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $190.55 / $288.40	Facility		$64.57	$190.55	$288.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $302.00	Professional		$208.93	$257.04	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $229.09 / $1,047.13	Facility		$64.57	$229.09	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $263.03	Professional		$100.00	$123.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $85.11	Professional		$51.29	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $630.96	Professional		$234.42	$346.74	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $467.74 / $1,230.27	Facility		$125.89	$467.74	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $1,230.27	Professional		$91.20	$181.97	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $114.82 / $331.13	Facility		$93.33	$114.82	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $190.55	Professional		$77.62	$114.82	$190.55