Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $66.07	Professional		$33.11	$39.81	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $131.83	Facility		$79.43	$79.43	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $89.13	Professional		$67.61	$74.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $181.97 / $389.05	Facility		$43.65	$181.97	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $112.20 / $151.36	Professional		$31.62	$112.20	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $97.72	Facility		$38.90	$64.57	$97.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $104.71	Professional		$70.79	$87.10	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $363.08	Facility		$39.81	$77.62	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $89.13	Professional		$34.67	$41.69	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $83.18	Professional		$28.84	$58.88	$83.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $218.78	Professional		$79.43	$120.23	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $158.49 / $363.08	Facility		$43.65	$158.49	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $63.10 / $389.05	Professional		$31.62	$63.10	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $114.82	Facility		$32.36	$40.74	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $66.07	Professional		$27.54	$38.90	$66.07