Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $407.38	Professional		$190.55	$218.78	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Facility		$446.68	$446.68	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $501.19	Professional		$338.84	$416.87	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,023.29 / $2,187.76	Facility		$302.00	$1,023.29	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $630.96 / $851.14	Professional		$223.87	$630.96	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $549.54	Facility		$213.80	$363.08	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $537.03	Professional		$251.19	$436.52	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $2,041.74	Facility		$223.87	$436.52	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $501.19	Professional		$190.55	$269.15	$501.19
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 $446.68 / $676.08 / $1,202.26	Professional		$446.68	$676.08	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $891.25 / $2,454.71	Facility		$302.00	$891.25	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $2,454.71	Professional		$223.87	$446.68	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $630.96	Facility		$229.09	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $371.54	Professional		$158.49	$218.78	$371.54