Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $51.29 / $77.62	Professional		$10.96	$51.29	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $43.65	Professional		$13.49	$17.78	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $380.19	Facility		$177.83	$234.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $104.71	Professional		$11.48	$26.30	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $63.10 / $93.33	Facility		$12.88	$63.10	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $56.23 / $100.00	Facility		$13.18	$56.23	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $91.20	Professional		$14.45	$22.91	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $45.71	Professional		$15.49	$30.90	$45.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $91.20	Facility		$26.30	$26.30	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.99 / $91.20	Professional		$11.48	$23.99	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $41.69	Professional		$13.80	$20.42	$41.69