Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $89.13	Professional		$44.67	$53.70	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Facility		$107.15	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $117.49	Professional		$74.13	$100.00	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $245.47 / $524.81	Facility		$67.61	$245.47	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $151.36 / $204.17	Professional		$50.12	$151.36	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $87.10 / $131.83	Facility		$52.48	$87.10	$131.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $158.49	Professional		$95.50	$128.82	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $489.78	Facility		$52.48	$104.71	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $117.49	Professional		$46.77	$56.23	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Professional		$50.12	$61.66	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $295.12	Professional		$107.15	$162.18	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $213.80 / $489.78	Facility		$67.61	$213.80	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $524.81	Professional		$50.12	$100.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $154.88	Facility		$32.36	$52.48	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $89.13	Professional		$36.31	$52.48	$89.13