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 $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Facility		$426.58	$426.58	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $478.63	Professional		$281.84	$398.11	$478.63
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 / $346.74 / $537.03	Facility		$208.93	$346.74	$537.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $758.58	Professional		$380.19	$602.56	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $2,041.74	Facility		$213.80	$426.58	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $478.63	Professional		$194.98	$257.04	$478.63
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 $426.58 / $645.65 / $1,230.27	Professional		$426.58	$645.65	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $851.14 / $2,041.74	Facility		$275.42	$851.14	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $2,511.89	Professional		$199.53	$446.68	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $630.96	Facility		$229.09	$295.12	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $354.81	Professional		$162.18	$208.93	$354.81