Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $398.11	Professional		$208.93	$245.47	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $812.83	Facility		$489.78	$489.78	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $537.03	Professional		$295.12	$457.09	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,122.02 / $2,398.83	Facility		$295.12	$1,122.02	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $691.83 / $912.01	Professional		$213.80	$691.83	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $602.56	Facility		$234.42	$398.11	$602.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $776.25	Professional		$436.52	$616.60	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $478.63 / $2,290.87	Facility		$239.88	$478.63	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $537.03	Professional		$208.93	$288.40	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $234.42	Professional		$54.95	$70.79	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,318.26	Professional		$489.78	$724.44	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $977.24 / $2,691.53	Facility		$295.12	$977.24	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $3,019.95	Professional		$213.80	$426.58	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $691.83	Facility		$251.19	$316.23	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $407.38	Professional		$177.83	$239.88	$407.38