Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $363.08	Professional		$186.21	$275.42	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $933.25	Facility		$575.44	$575.44	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $630.96	Professional		$478.63	$524.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,318.26 / $2,818.38	Facility		$363.08	$1,318.26	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $812.83 / $1,071.52	Professional		$263.03	$812.83	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $707.95	Facility		$234.42	$457.09	$707.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $676.08	Professional		$316.23	$562.34	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $2,290.87	Facility		$281.84	$562.34	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $630.96	Professional		$208.93	$316.23	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $234.42	Professional		$54.95	$70.79	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,318.26	Professional		$575.44	$851.14	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,122.02 / $2,630.27	Facility		$363.08	$1,122.02	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $3,162.28	Professional		$263.03	$457.09	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $676.08	Facility		$245.47	$316.23	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $467.74	Professional		$186.21	$275.42	$467.74