Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $112.20	Professional		$63.10	$75.86	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $251.19	Facility		$151.36	$151.36	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $169.82	Professional		$134.90	$141.25	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $346.74 / $741.31	Facility		$104.71	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $288.40	Professional		$75.86	$213.80	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $186.21	Facility		$70.79	$123.03	$186.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $223.87	Professional		$134.90	$181.97	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $676.08	Facility		$74.13	$147.91	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $169.82	Professional		$63.10	$75.86	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $398.11	Professional		$151.36	$229.09	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $302.00 / $812.83	Facility		$104.71	$302.00	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $851.14	Professional		$75.86	$151.36	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $74.13 / $208.93	Facility		$58.88	$74.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89