Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $79.43	Professional		$48.98	$67.61	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $173.78	Facility		$95.50	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $95.50 / $128.82	Professional		$89.13	$95.50	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $371.54	Facility		$60.26	$81.28	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $186.21	Professional		$60.26	$112.20	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $154.88	Facility		$58.88	$107.15	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $134.90 / $436.52	Facility		$58.88	$134.90	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $120.23	Professional		$47.86	$72.44	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $51.29 / $89.13	Professional		$4.79	$51.29	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $26.30	Professional		$12.59	$19.50	$26.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $190.55 / $436.52	Facility		$60.26	$190.55	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $79.43	Professional		$60.26	$60.26	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $45.71 / $70.79	Facility		$5.62	$45.71	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $120.23	Professional		$44.67	$72.44	$120.23