Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $363.08	Professional		$181.97	$239.88	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $707.95	Facility		$436.52	$436.52	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $489.78	Professional		$331.13	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,000.00 / $2,137.96	Facility		$275.42	$1,000.00	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $616.60 / $812.83	Professional		$199.53	$616.60	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $537.03	Facility		$208.93	$354.81	$537.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $549.54	Professional		$245.47	$426.58	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $2,238.72	Facility		$213.80	$426.58	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $512.86	Professional		$199.53	$275.42	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $120.23	Professional		$54.95	$70.79	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,288.25	Professional		$436.52	$645.65	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $870.96 / $2,630.27	Facility		$275.42	$870.96	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $2,630.27	Professional		$199.53	$398.11	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $676.08	Facility		$218.78	$309.03	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $363.08	Professional		$173.78	$245.47	$363.08