Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $81.28	Professional		$44.67	$51.29	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Facility		$102.33	$102.33	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $114.82	Professional		$95.50	$95.50	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $234.42 / $501.19	Facility		$53.70	$234.42	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $144.54 / $194.98	Professional		$38.90	$144.54	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $83.18 / $125.89	Facility		$27.54	$83.18	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $147.91	Professional		$91.20	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $457.09	Facility		$50.12	$100.00	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $114.82	Professional		$42.66	$52.48	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $269.15	Professional		$102.33	$154.88	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $204.17 / $549.54	Facility		$53.70	$204.17	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $549.54	Professional		$38.90	$79.43	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $141.25	Facility		$39.81	$48.98	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $83.18	Professional		$33.88	$50.12	$83.18