Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $295.12	Professional		$120.23	$223.87	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Professional		$338.84	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,548.82	Facility		$954.99	$1,122.02	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $512.86 / $691.83	Professional		$128.82	$512.86	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $354.81	Facility		$223.87	$302.00	$354.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $537.03	Professional		$177.83	$389.05	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $338.84 / $724.44	Facility		$263.03	$338.84	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $331.13	Professional		$104.71	$169.82	$331.13
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 $295.12 / $489.78 / $794.33	Professional		$295.12	$489.78	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,380.38	Facility		$724.44	$724.44	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $537.03 / $1,698.24	Professional		$128.82	$537.03	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $269.15	Professional		$104.71	$162.18	$269.15