Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $263.03	Professional		$109.65	$199.53	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Professional		$229.09	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,047.13	Facility		$645.65	$758.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $346.74 / $457.09	Professional		$114.82	$346.74	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $263.03	Facility		$173.78	$208.93	$263.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $537.03	Professional		$218.78	$288.40	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $363.08	Facility		$199.53	$234.42	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $223.87	Professional		$93.33	$120.23	$223.87
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 $245.47 / $363.08 / $724.44	Professional		$245.47	$363.08	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,513.56	Facility		$489.78	$489.78	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $363.08 / $1,584.89	Professional		$114.82	$363.08	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $181.97	Professional		$93.33	$120.23	$181.97