Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $302.00	Professional		$154.88	$177.83	$302.00
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 $269.15 / $302.00 / $363.08	Professional		$269.15	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $741.31 / $1,584.89	Facility		$204.17	$741.31	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $457.09 / $616.60	Professional		$151.36	$457.09	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $398.11	Facility		$158.49	$263.03	$398.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $501.19	Professional		$288.40	$416.87	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $1,698.24	Facility		$162.18	$316.23	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $380.19	Professional		$147.91	$186.21	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $89.13	Professional		$53.70	$70.79	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,000.00	Professional		$323.59	$489.78	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $645.65 / $1,995.26	Facility		$204.17	$645.65	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $3,890.45	Professional		$151.36	$302.00	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $186.21 / $512.86	Facility		$147.91	$186.21	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $269.15	Professional		$123.03	$158.49	$269.15