Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $380.19	Professional		$194.98	$223.87	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Facility		$457.09	$457.09	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $501.19	Professional		$389.05	$426.58	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,047.13 / $2,238.72	Facility		$316.23	$1,047.13	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $870.96	Professional		$234.42	$645.65	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $562.34	Facility		$223.87	$371.54	$562.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $549.54	Professional		$257.04	$436.52	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $2,089.30	Facility		$223.87	$446.68	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $501.19	Professional		$199.53	$269.15	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,258.93	Professional		$457.09	$691.83	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,089.30	Facility		$316.23	$912.01	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $489.78 / $2,238.72	Professional		$234.42	$489.78	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $645.65	Facility		$234.42	$302.00	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $380.19	Professional		$165.96	$223.87	$380.19