Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $213.80	Professional		$95.50	$131.83	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Facility		$269.15	$269.15	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $302.00	Professional		$204.17	$251.19	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $630.96 / $1,348.96	Facility		$173.78	$630.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $389.05 / $512.86	Professional		$125.89	$389.05	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $218.78 / $338.84	Facility		$112.20	$218.78	$338.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $323.59	Professional		$151.36	$269.15	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $263.03 / $1,047.13	Facility		$134.90	$263.03	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $302.00	Professional		$102.33	$151.36	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $125.89	Professional		$54.95	$70.79	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $630.96	Professional		$269.15	$407.38	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $537.03 / $1,258.93	Facility		$173.78	$537.03	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $1,479.11	Professional		$125.89	$245.47	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $151.36 / $323.59	Facility		$69.18	$151.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $223.87	Professional		$89.13	$131.83	$223.87