Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $93.33 / $128.82	Professional		$18.20	$93.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $14.45	Professional		$10.23	$12.59	$14.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $89.13	Facility		$57.54	$57.54	$89.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,230.27	Professional		$831.76	$933.25	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $104.71	Facility		$57.54	$57.54	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $141.25	Professional		$63.10	$83.18	$141.25
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 $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Facility		$64.57	$64.57	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $660.69	Professional		$19.95	$19.95	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $141.25	Professional		$56.23	$83.18	$141.25