Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $114.82	Professional		$72.44	$100.00	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $269.15	Facility		$147.91	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $208.93	Professional		$125.89	$147.91	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $588.84	Facility		$95.50	$114.82	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $288.40	Professional		$95.50	$177.83	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $190.55	Facility		$87.10	$131.83	$190.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $177.83 / $676.08	Facility		$87.10	$177.83	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $154.88	Professional		$69.18	$91.20	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $41.69	Professional		$19.50	$31.62	$41.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $295.12 / $676.08	Facility		$95.50	$295.12	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $112.20	Professional		$81.28	$95.50	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $64.57 / $104.71	Facility		$8.32	$64.57	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $165.96	Professional		$56.23	$89.13	$165.96