Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $87.10	Professional		$42.66	$51.29	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Facility		$100.00	$100.00	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $109.65	Professional		$89.13	$93.33	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $229.09 / $489.78	Facility		$63.10	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $141.25 / $186.21	Professional		$45.71	$141.25	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $123.03	Facility		$48.98	$79.43	$123.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $165.96	Professional		$89.13	$131.83	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $97.72 / $489.78	Facility		$50.12	$97.72	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $114.82	Professional		$43.65	$54.95	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $85.11	Professional		$36.31	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $288.40	Professional		$100.00	$147.91	$288.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $199.53 / $588.84	Facility		$63.10	$199.53	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $812.83	Professional		$45.71	$91.20	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $151.36	Facility		$42.66	$53.70	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $83.18	Professional		$36.31	$48.98	$83.18