Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $100.00	Professional		$47.86	$64.57	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $218.78	Facility		$131.83	$131.83	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Professional		$109.65	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $302.00 / $645.65	Facility		$83.18	$302.00	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $186.21 / $251.19	Professional		$61.66	$186.21	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $162.18	Facility		$53.70	$107.15	$162.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $194.98	Professional		$117.49	$158.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $128.82 / $524.81	Facility		$61.66	$128.82	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $147.91	Professional		$47.86	$64.57	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $85.11	Professional		$39.81	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $309.03	Professional		$131.83	$199.53	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $263.03 / $616.60	Facility		$83.18	$263.03	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $758.58	Professional		$61.66	$107.15	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $158.49	Facility		$44.67	$56.23	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $107.15	Professional		$43.65	$64.57	$107.15