Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $114.82	Professional		$64.57	$81.28	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $275.42	Facility		$165.96	$165.96	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $186.21	Professional		$138.04	$154.88	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $380.19 / $812.83	Facility		$107.15	$380.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $234.42 / $316.23	Professional		$77.62	$234.42	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $204.17	Facility		$74.13	$134.90	$204.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $239.88	Professional		$147.91	$194.98	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $724.44	Facility		$81.28	$162.18	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $181.97	Professional		$63.10	$81.28	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $416.87	Professional		$165.96	$245.47	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $331.13 / $831.76	Facility		$107.15	$331.13	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $1,445.44	Professional		$77.62	$147.91	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $218.78	Facility		$61.66	$77.62	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $134.90	Professional		$53.70	$81.28	$134.90