Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $100.00	Professional		$64.57	$85.11	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $239.88 / $239.88	Facility		$131.83	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $162.18	Professional		$104.71	$131.83	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $524.81	Facility		$79.43	$79.43	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $251.19	Professional		$79.43	$181.97	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $93.33 / $154.88	Facility		$35.48	$93.33	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $128.82 / $602.56	Facility		$35.48	$128.82	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $123.03	Professional		$52.48	$72.44	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $89.13	Professional		$47.86	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $39.81	Professional		$17.38	$29.51	$39.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $602.56	Facility		$79.43	$263.03	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $97.72	Professional		$67.61	$79.43	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $48.98 / $91.20	Facility		$5.75	$48.98	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $131.83	Professional		$48.98	$67.61	$131.83