Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $208.93	Professional		$85.11	$162.18	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,096.48	Facility		$676.08	$794.33	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $363.08 / $489.78	Professional		$91.20	$363.08	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $251.19	Facility		$169.82	$213.80	$251.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $323.59	Professional		$177.83	$275.42	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $239.88 / $512.86	Facility		$186.21	$239.88	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $234.42	Professional		$74.13	$120.23	$234.42
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 / $354.81 / $562.34	Professional		$208.93	$354.81	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,148.15	Facility		$512.86	$512.86	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $389.05 / $1,258.93	Professional		$91.20	$389.05	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $190.55	Professional		$74.13	$117.49	$190.55