Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $85.11	Professional		$50.12	$56.23	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Facility		$104.71	$104.71	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $117.49	Professional		$87.10	$97.72	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $512.86	Facility		$61.66	$239.88	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $147.91 / $199.53	Professional		$44.67	$147.91	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $85.11 / $128.82	Facility		$51.29	$85.11	$128.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $125.89	Professional		$58.88	$97.72	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $501.19	Facility		$52.48	$102.33	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $117.49	Professional		$47.86	$58.88	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $85.11	Professional		$48.98	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $309.03	Professional		$104.71	$158.49	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $208.93 / $501.19	Facility		$61.66	$208.93	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $562.34	Professional		$44.67	$89.13	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $162.18	Facility		$29.51	$51.29	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $89.13	Professional		$38.02	$51.29	$89.13