Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $104.71	Professional		$58.88	$64.57	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $204.17	Facility		$125.89	$125.89	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $141.25	Professional		$104.71	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $288.40 / $616.60	Facility		$74.13	$288.40	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $177.83 / $234.42	Professional		$53.70	$177.83	$234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $154.88	Facility		$61.66	$100.00	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $199.53	Professional		$112.20	$158.49	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $616.60	Facility		$63.10	$123.03	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $147.91	Professional		$54.95	$69.18	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $85.11	Professional		$50.12	$66.07	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $371.54	Professional		$125.89	$186.21	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $251.19 / $741.31	Facility		$74.13	$251.19	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $776.25	Professional		$53.70	$107.15	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $69.18 / $190.55	Facility		$53.70	$69.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $104.71	Professional		$45.71	$61.66	$104.71