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 $34.67 / $41.69 / $67.61	Professional		$34.67	$41.69	$67.61
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 $61.66 / $74.13 / $89.13	Professional		$61.66	$74.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $389.05	Facility		$48.98	$181.97	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $112.20 / $151.36	Professional		$35.48	$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 / $112.20 / $138.04	Professional		$70.79	$112.20	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $407.38	Facility		$38.90	$77.62	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $93.33	Professional		$36.31	$51.29	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $83.18	Professional		$34.67	$58.88	$83.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $245.47	Professional		$79.43	$120.23	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $158.49 / $416.87	Facility		$48.98	$158.49	$416.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $512.86	Professional		$35.48	$70.79	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.88 / $125.89	Facility		$19.95	$58.88	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $67.61	Professional		$32.36	$42.66	$67.61