Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $123.03	Professional		$47.86	$47.86	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $70.79	Professional		$50.12	$66.07	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $501.19	Professional		$269.15	$309.03	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $204.17	Facility		$48.98	$48.98	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $52.48 / $123.03	Facility		$48.98	$52.48	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $891.25 / $891.25	Professional		$316.23	$891.25	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $29.51	Professional		$23.44	$23.44	$29.51