Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $85.11	Professional		$46.77	$52.48	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Facility		$100.00	$100.00	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $112.20	Professional		$91.20	$93.33	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $234.42 / $501.19	Facility		$63.10	$234.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $144.54 / $190.55	Professional		$45.71	$144.54	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $125.89	Facility		$50.12	$81.28	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $186.21	Professional		$89.13	$147.91	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $501.19	Facility		$51.29	$97.72	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $117.49	Professional		$43.65	$56.23	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $85.11	Professional		$45.71	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $302.00	Professional		$100.00	$151.36	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $199.53 / $602.56	Facility		$63.10	$199.53	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $724.44	Professional		$45.71	$91.20	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $154.88	Facility		$43.65	$56.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $85.11	Professional		$37.15	$48.98	$85.11