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 / $371.54	Professional		$194.98	$223.87	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $741.31	Facility		$457.09	$457.09	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $512.86	Professional		$316.23	$426.58	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,047.13 / $2,238.72	Facility		$288.40	$1,047.13	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $645.65 / $851.14	Professional		$208.93	$645.65	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $562.34	Facility		$218.78	$363.08	$562.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $691.83	Professional		$407.38	$549.54	$691.83
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 / $676.08 / $1,258.93	Professional		$457.09	$676.08	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $912.01 / $2,089.30	Facility		$288.40	$912.01	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $2,238.72	Professional		$208.93	$489.78	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $645.65	Facility		$234.42	$295.12	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $380.19	Professional		$165.96	$223.87	$380.19