Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $95.50	Professional		$72.44	$83.18	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Facility		$199.53	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $144.54	Professional		$79.43	$125.89	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $147.91	Facility		$69.18	$83.18	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $147.91	Facility		$69.18	$83.18	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $64.57	Professional		$50.12	$54.95	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Facility		$64.57	$64.57	$128.82