Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $102.33	Professional		$70.79	$72.44	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $75.86 / $75.86	Professional		$2.04	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $257.04	Facility		$75.86	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $93.33	Professional		$72.44	$81.28	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Professional		$89.13	$89.13	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Professional		$89.13	$89.13	$123.03