Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $309.03	Professional		$162.18	$186.21	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Facility		$380.19	$380.19	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $426.58	Professional		$263.03	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $870.96 / $1,862.09	Facility		$239.88	$870.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $537.03 / $707.95	Professional		$173.78	$537.03	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $467.74	Facility		$181.97	$302.00	$467.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $562.34	Professional		$338.84	$446.68	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $1,737.80	Facility		$186.21	$371.54	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $416.87	Professional		$165.96	$223.87	$416.87
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 $380.19 / $562.34 / $1,047.13	Professional		$380.19	$562.34	$1,047.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $758.58 / $1,737.80	Facility		$239.88	$758.58	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,862.09	Professional		$173.78	$407.38	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $537.03	Facility		$194.98	$251.19	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $316.23	Professional		$138.04	$186.21	$316.23