Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $97.72	Professional		$51.29	$79.43	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $199.53 / $467.74	Professional		$61.66	$199.53	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $398.11	Facility		$95.50	$239.88	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $398.11	Facility		$257.04	$257.04	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $288.40	Professional		$112.20	$199.53	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $281.84	Facility		$223.87	$223.87	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $457.09	Professional		$181.97	$223.87	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $275.42	Professional		$87.10	$125.89	$275.42