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 $60.26 / $75.86 / $125.89	Professional		$60.26	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $245.47	Facility		$151.36	$151.36	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $169.82	Professional		$134.90	$138.04	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $346.74 / $741.31	Facility		$93.33	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $213.80 / $281.84	Professional		$67.61	$213.80	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $186.21	Facility		$70.79	$120.23	$186.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $223.87	Professional		$134.90	$177.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $660.69	Facility		$74.13	$147.91	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $165.96	Professional		$63.10	$75.86	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $85.11	Professional		$51.29	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $398.11	Professional		$151.36	$223.87	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $707.95	Facility		$93.33	$295.12	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $741.31	Professional		$67.61	$134.90	$741.31
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 $48.98 / $74.13 / $123.03	Professional		$48.98	$74.13	$123.03