Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $56.23	Professional		$28.18	$36.31	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Facility		$70.79	$70.79	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $77.62	Professional		$53.70	$66.07	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $162.18 / $346.74	Facility		$44.67	$162.18	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $100.00 / $134.90	Professional		$33.11	$100.00	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $57.54 / $87.10	Facility		$33.88	$57.54	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $85.11	Professional		$39.81	$69.18	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $69.18 / $331.13	Facility		$34.67	$69.18	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $77.62	Professional		$30.90	$42.66	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $74.13	Professional		$30.20	$58.88	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $194.98	Professional		$70.79	$107.15	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $141.25 / $354.81	Facility		$44.67	$141.25	$354.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $389.05	Professional		$33.11	$66.07	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $100.00	Facility		$36.31	$45.71	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $58.88	Professional		$25.70	$34.67	$58.88