Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $251.19	Professional		$125.89	$162.18	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Facility		$323.59	$323.59	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $758.58 / $1,584.89	Facility		$169.82	$758.58	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $467.74 / $616.60	Professional		$125.89	$467.74	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $407.38	Facility		$151.36	$263.03	$407.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $389.05	Professional		$181.97	$288.40	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $1,445.44	Facility		$162.18	$316.23	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $363.08	Professional		$134.90	$194.98	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $213.80	Professional		$54.95	$70.79	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $851.14	Professional		$323.59	$489.78	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $645.65 / $1,445.44	Facility		$169.82	$645.65	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $1,737.80	Professional		$125.89	$251.19	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $446.68	Facility		$144.54	$204.17	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $269.15	Professional		$112.20	$158.49	$269.15