Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $257.04	Professional		$131.83	$154.88	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Facility		$309.03	$309.03	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $346.74	Professional		$263.03	$288.40	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $724.44 / $1,513.56	Facility		$169.82	$724.44	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $446.68 / $588.84	Professional		$144.54	$446.68	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $389.05	Facility		$151.36	$251.19	$389.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $371.54	Professional		$173.78	$295.12	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $1,412.54	Facility		$154.88	$302.00	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $346.74	Professional		$134.90	$186.21	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $194.98	Professional		$54.95	$70.79	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $851.14	Professional		$309.03	$467.74	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $616.60 / $1,412.54	Facility		$169.82	$616.60	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $331.13 / $1,548.82	Professional		$144.54	$331.13	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $446.68	Facility		$177.83	$204.17	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $257.04	Professional		$112.20	$151.36	$257.04