Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $38.90	Professional		$19.05	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $79.43 / $128.82	Facility		$69.18	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $48.98	Professional		$19.05	$36.31	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $35.48 / $46.77	Facility		$21.38	$35.48	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $35.48 / $46.77	Facility		$21.38	$35.48	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $151.36	Professional		$28.84	$46.77	$151.36
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 $25.70 / $37.15 / $72.44	Professional		$25.70	$37.15	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $151.36	Facility		$43.65	$43.65	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $117.49 / $151.36	Professional		$19.05	$117.49	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $95.50	Professional		$27.54	$40.74	$95.50