Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $102.33	Professional		$56.23	$70.79	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Facility		$144.54	$144.54	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $158.49	Professional		$93.33	$134.90	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $331.13 / $707.95	Facility		$91.20	$331.13	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $204.17 / $275.42	Professional		$67.61	$204.17	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $117.49 / $177.83	Facility		$64.57	$117.49	$177.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $208.93	Professional		$128.82	$173.78	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $141.25 / $616.60	Facility		$70.79	$141.25	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $158.49	Professional		$52.48	$70.79	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $104.71	Professional		$54.95	$70.79	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $363.08	Professional		$144.54	$213.80	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $288.40 / $630.96	Facility		$91.20	$288.40	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $724.44	Professional		$67.61	$125.89	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $186.21	Facility		$52.48	$64.57	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $117.49	Professional		$46.77	$70.79	$117.49