Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $64.57	Professional		$33.88	$45.71	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $158.49	Facility		$95.50	$95.50	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $104.71	Professional		$72.44	$89.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $223.87 / $467.74	Facility		$52.48	$223.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $138.04 / $181.97	Professional		$38.90	$138.04	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $120.23	Facility		$39.81	$77.62	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $138.04	Professional		$75.86	$112.20	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $93.33 / $380.19	Facility		$44.67	$93.33	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $107.15	Professional		$35.48	$46.77	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $85.11	Professional		$44.67	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $223.87	Professional		$95.50	$144.54	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $190.55 / $380.19	Facility		$52.48	$190.55	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $467.74	Professional		$38.90	$77.62	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $117.49	Facility		$33.11	$40.74	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $77.62	Professional		$31.62	$46.77	$77.62