Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $83.18	Professional		$42.66	$48.98	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Facility		$93.33	$93.33	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $104.71	Professional		$72.44	$87.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $218.78 / $467.74	Facility		$60.26	$218.78	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $134.90 / $177.83	Professional		$43.65	$134.90	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $117.49	Facility		$45.71	$75.86	$117.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $181.97	Professional		$83.18	$141.25	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $478.63	Facility		$46.77	$93.33	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $112.20	Professional		$42.66	$60.26	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $85.11	Professional		$43.65	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $281.84	Professional		$93.33	$141.25	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $186.21 / $575.44	Facility		$60.26	$186.21	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $645.65	Professional		$43.65	$87.10	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $147.91	Facility		$53.70	$67.61	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $77.62	Professional		$37.15	$52.48	$77.62