Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $95.50	Professional		$47.86	$57.54	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $186.21	Facility		$114.82	$114.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $128.82	Professional		$102.33	$107.15	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $263.03 / $562.34	Facility		$66.07	$263.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $162.18 / $213.80	Professional		$48.98	$162.18	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $141.25	Facility		$56.23	$91.20	$141.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $199.53	Professional		$102.33	$158.49	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $524.81	Facility		$56.23	$112.20	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $125.89	Professional		$48.98	$58.88	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $85.11	Professional		$29.51	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $316.23	Professional		$114.82	$169.82	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $229.09 / $524.81	Facility		$66.07	$229.09	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $562.34	Professional		$48.98	$97.72	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $162.18	Facility		$45.71	$57.54	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $95.50	Professional		$38.90	$56.23	$95.50