Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $323.59	Professional		$154.88	$218.78	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $724.44	Facility		$436.52	$436.52	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $489.78	Professional		$398.11	$407.38	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,023.29 / $2,137.96	Facility		$295.12	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $630.96 / $831.76	Professional		$218.78	$630.96	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $549.54	Facility		$199.53	$354.81	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $524.81	Professional		$245.47	$389.05	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $1,862.09	Facility		$218.78	$426.58	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $489.78	Professional		$177.83	$257.04	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $239.88	Professional		$54.95	$70.79	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,122.02	Professional		$436.52	$660.69	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $870.96 / $1,905.46	Facility		$295.12	$870.96	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $2,398.83	Professional		$218.78	$407.38	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $588.84	Facility		$154.88	$269.15	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $363.08	Professional		$147.91	$213.80	$363.08