Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $338.84	Professional		$165.96	$204.17	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Facility		$416.87	$416.87	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $457.09	Professional		$371.54	$389.05	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $954.99 / $2,041.74	Facility		$245.47	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $588.84 / $776.25	Professional		$177.83	$588.84	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $512.86	Facility		$186.21	$331.13	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $489.78	Professional		$234.42	$371.54	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $1,737.80	Facility		$204.17	$407.38	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $457.09	Professional		$165.96	$245.47	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $138.04	Professional		$54.95	$70.79	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,047.13	Professional		$416.87	$616.60	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $831.76 / $1,737.80	Facility		$245.47	$831.76	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $2,137.96	Professional		$177.83	$354.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $549.54	Facility		$169.82	$251.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Professional		$141.25	$204.17	$338.84