Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $363.08	Professional		$177.83	$263.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $912.01	Facility		$549.54	$549.54	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Professional		$512.86	$512.86	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,698.24 / $2,691.53	Facility		$251.19	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $794.33 / $1,047.13	Professional		$194.98	$794.33	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $676.08	Facility		$223.87	$446.68	$676.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $660.69	Professional		$309.03	$489.78	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $2,089.30	Facility		$269.15	$537.03	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $602.56	Professional		$199.53	$302.00	$602.56
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 $549.54 / $831.76 / $1,258.93	Professional		$549.54	$831.76	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,096.48 / $2,137.96	Facility		$251.19	$1,096.48	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $676.08 / $2,630.27	Professional		$194.98	$676.08	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $316.23	Facility		$204.17	$269.15	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $446.68	Professional		$177.83	$269.15	$446.68