Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $229.09	Professional		$109.65	$138.04	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $457.09	Facility		$281.84	$281.84	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $316.23	Professional		$239.88	$257.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $645.65 / $1,380.38	Facility		$194.98	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $398.11 / $524.81	Professional		$141.25	$398.11	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $346.74	Facility		$125.89	$223.87	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $331.13	Professional		$158.49	$275.42	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $1,174.90	Facility		$138.04	$275.42	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $309.03	Professional		$112.20	$165.96	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $707.95	Professional		$281.84	$416.87	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $549.54 / $1,412.54	Facility		$194.98	$549.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $1,698.24	Professional		$141.25	$251.19	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $371.54	Facility		$134.90	$169.82	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $229.09	Professional		$93.33	$138.04	$229.09