Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $812.83 / $891.25	Facility		$107.15	$812.83	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $316.23	Professional		$158.49	$204.17	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Facility		$416.87	$416.87	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $467.74	Professional		$380.19	$389.05	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,288.25 / $2,041.74	Facility		$275.42	$1,288.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $794.33	Professional		$234.42	$602.56	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $512.86	Facility		$173.78	$338.84	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $501.19	Professional		$234.42	$371.54	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $1,548.82	Facility		$204.17	$407.38	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $467.74	Professional		$154.88	$229.09	$467.74
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 $416.87 / $630.96 / $977.24	Professional		$416.87	$630.96	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $831.76 / $1,698.24	Facility		$275.42	$831.76	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $1,949.84	Professional		$234.42	$512.86	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $245.47	Facility		$177.83	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $338.84	Professional		$134.90	$204.17	$338.84