Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $208.93	Professional		$93.33	$125.89	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $416.87	Facility		$257.04	$257.04	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $281.84	Professional		$190.55	$234.42	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $588.84 / $1,258.93	Facility		$165.96	$588.84	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $363.08 / $478.63	Professional		$120.23	$363.08	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $316.23	Facility		$117.49	$204.17	$316.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $302.00	Professional		$141.25	$251.19	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $1,122.02	Facility		$125.89	$251.19	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $281.84	Professional		$104.71	$151.36	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $151.36	Professional		$54.95	$70.79	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $660.69	Professional		$257.04	$380.19	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $501.19 / $1,348.96	Facility		$165.96	$501.19	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $1,348.96	Professional		$120.23	$245.47	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $346.74	Facility		$125.89	$158.49	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93