Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $245.47	Professional		$123.03	$173.78	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $588.84	Facility		$354.81	$354.81	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $398.11	Professional		$302.00	$331.13	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $812.83 / $1,737.80	Facility		$223.87	$812.83	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $501.19 / $676.08	Professional		$165.96	$501.19	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $436.52	Facility		$144.54	$288.40	$436.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $426.58	Professional		$199.53	$316.23	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $1,445.44	Facility		$173.78	$346.74	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $389.05	Professional		$138.04	$194.98	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $100.00	Professional		$54.95	$70.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $812.83	Professional		$354.81	$537.03	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,479.11	Facility		$223.87	$707.95	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $1,659.59	Professional		$165.96	$354.81	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $426.58	Facility		$131.83	$194.98	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $288.40	Professional		$114.82	$173.78	$288.40