Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $181.97	Professional		$79.43	$162.18	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Professional		$208.93	$208.93	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $954.99	Facility		$588.84	$691.83	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $316.23 / $416.87	Professional		$91.20	$316.23	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $218.78	Facility		$154.88	$186.21	$218.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $338.84	Professional		$199.53	$263.03	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $446.68	Facility		$177.83	$208.93	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $204.17	Professional		$74.13	$107.15	$204.17
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 $208.93 / $331.13 / $575.44	Professional		$208.93	$331.13	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,096.48	Facility		$446.68	$446.68	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $331.13 / $1,230.27	Professional		$91.20	$331.13	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18