Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $302.00	Professional		$158.49	$181.97	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $602.56	Facility		$363.08	$363.08	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $407.38	Professional		$309.03	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $831.76 / $1,778.28	Facility		$229.09	$831.76	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $524.81 / $691.83	Professional		$169.82	$524.81	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $446.68	Facility		$177.83	$295.12	$446.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $436.52	Professional		$204.17	$346.74	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $354.81 / $1,659.59	Facility		$181.97	$354.81	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $407.38	Professional		$158.49	$218.78	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $91.20	Professional		$54.95	$70.79	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,000.00	Professional		$363.08	$549.54	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $724.44 / $1,659.59	Facility		$229.09	$724.44	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $1,819.70	Professional		$169.82	$389.05	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $239.88 / $524.81	Facility		$190.55	$239.88	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $302.00	Professional		$131.83	$177.83	$302.00