Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $691.83	Facility		$117.49	$134.90	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $288.40	Professional		$104.71	$138.04	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Facility		$239.88	$239.88	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $263.03	Professional		$199.53	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $549.54 / $1,174.90	Facility		$131.83	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $338.84 / $446.68	Professional		$95.50	$338.84	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $181.97 / $281.84	Facility		$67.61	$181.97	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $346.74	Professional		$213.80	$281.84	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $1,096.48	Facility		$117.49	$234.42	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $263.03	Professional		$102.33	$123.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $85.11	Professional		$47.86	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $660.69	Professional		$239.88	$354.81	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $478.63 / $1,096.48	Facility		$131.83	$478.63	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $1,174.90	Professional		$95.50	$257.04	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.03 / $338.84	Facility		$95.50	$123.03	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $199.53	Professional		$81.28	$117.49	$199.53