Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $338.84	Professional		$85.11	$218.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,570.40	Facility		$1,348.96	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $724.44	Professional		$141.25	$630.96	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $61.66	Facility		$39.81	$39.81	$61.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $275.42	Professional		$186.21	$204.17	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $100.00	Facility		$39.81	$39.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
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 $79.43 / $79.43 / $380.19	Facility		$79.43	$79.43	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25