Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $125.89	Professional		$61.66	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Facility		$147.91	$147.91	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Professional		$138.04	$138.04	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $346.74 / $741.31	Facility		$81.28	$346.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $281.84	Professional		$60.26	$213.80	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $186.21	Facility		$72.44	$120.23	$186.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $234.42	Professional		$131.83	$194.98	$234.42
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 $64.57 / $77.62 / $165.96	Professional		$64.57	$77.62	$165.96
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 $147.91 / $223.87 / $407.38	Professional		$147.91	$223.87	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $295.12 / $676.08	Facility		$81.28	$295.12	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $741.31	Professional		$60.26	$120.23	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $213.80	Facility		$60.26	$75.86	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $123.03	Professional		$51.29	$72.44	$123.03