Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $154.88	Professional		$79.43	$141.25	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $199.53	Professional		$165.96	$165.96	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $758.58	Facility		$467.74	$549.54	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $257.04 / $338.84	Professional		$85.11	$257.04	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $177.83	Facility		$128.82	$151.36	$177.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $213.80	Professional		$154.88	$165.96	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $562.34	Facility		$144.54	$177.83	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $162.18	Professional		$69.18	$87.10	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $524.81	Professional		$177.83	$269.15	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,122.02	Facility		$354.81	$354.81	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $269.15 / $1,819.70	Professional		$85.11	$269.15	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $131.83	Professional		$58.88	$87.10	$131.83