Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $128.82	Professional		$85.11	$112.20	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $316.23	Facility		$173.78	$316.23	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $213.80	Professional		$128.82	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $812.83	Facility		$70.79	$70.79	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $331.13	Professional		$60.26	$204.17	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $199.53	Facility		$112.20	$134.90	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $794.33	Facility		$112.20	$194.98	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $158.49	Professional		$70.79	$95.50	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $120.23	Professional		$50.12	$64.57	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $52.48	Professional		$22.91	$38.90	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $338.84 / $794.33	Facility		$64.57	$338.84	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $72.44	Professional		$51.29	$70.79	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $70.79 / $123.03	Facility		$8.13	$70.79	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $173.78	Professional		$63.10	$93.33	$173.78