Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $134.90	Professional		$67.61	$81.28	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $263.03	Facility		$162.18	$162.18	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $177.83	Professional		$144.54	$147.91	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $371.54 / $794.33	Facility		$89.13	$371.54	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $229.09 / $302.00	Professional		$64.57	$229.09	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $199.53	Facility		$77.62	$128.82	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $234.42	Professional		$144.54	$190.55	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $741.31	Facility		$79.43	$158.49	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $173.78	Professional		$69.18	$83.18	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $102.33	Professional		$54.95	$70.79	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $446.68	Professional		$162.18	$239.88	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $316.23 / $741.31	Facility		$89.13	$316.23	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $794.33	Professional		$64.57	$128.82	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $229.09	Facility		$64.57	$79.43	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $131.83	Professional		$54.95	$79.43	$131.83