Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $43.65	Professional		$23.99	$33.88	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $151.36	Professional		$40.74	$60.26	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $141.25 / $223.87	Facility		$120.23	$141.25	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $93.33	Professional		$36.31	$53.70	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $48.98	Facility		$25.12	$35.48	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $85.11	Facility		$25.12	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $346.74	Professional		$25.12	$28.84	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $144.54	Professional		$57.54	$97.72	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $288.40	Facility		$117.49	$117.49	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $93.33 / $354.81	Professional		$36.31	$93.33	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $51.29	Professional		$18.20	$26.92	$51.29