Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $114.82	Professional		$60.26	$70.79	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Facility		$141.25	$141.25	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $158.49	Professional		$117.49	$131.83	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $323.59 / $691.83	Facility		$89.13	$323.59	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $269.15	Professional		$64.57	$199.53	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $114.82 / $173.78	Facility		$67.61	$114.82	$173.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $239.88	Professional		$125.89	$190.55	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $645.65	Facility		$69.18	$138.04	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $154.88	Professional		$60.26	$83.18	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $85.11	Professional		$50.12	$61.66	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $380.19	Professional		$141.25	$208.93	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $281.84 / $776.25	Facility		$89.13	$281.84	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $794.33	Professional		$64.57	$128.82	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $199.53	Facility		$72.44	$91.20	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $117.49	Professional		$50.12	$69.18	$117.49