Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $63.10	Professional		$34.67	$52.48	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $177.83	Professional		$50.12	$75.86	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Professional		$97.72	$97.72	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $67.61	Facility		$35.48	$52.48	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $53.70 / $74.13	Facility		$35.48	$53.70	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $338.84	Professional		$60.26	$100.00	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $186.21	Professional		$72.44	$125.89	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $338.84	Facility		$128.82	$128.82	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $338.84	Professional		$269.15	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Facility		$251.19	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $194.98	Professional		$57.54	$91.20	$194.98