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 $53.70 / $61.66 / $107.15	Professional		$53.70	$61.66	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Facility		$125.89	$125.89	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $141.25	Professional		$87.10	$117.49	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $288.40 / $616.60	Facility		$69.18	$288.40	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $177.83 / $239.88	Professional		$50.12	$177.83	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $154.88	Facility		$61.66	$102.33	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $218.78	Professional		$112.20	$173.78	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $588.84	Facility		$63.10	$123.03	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $147.91	Professional		$54.95	$75.86	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $85.11	Professional		$30.20	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $346.74	Professional		$125.89	$190.55	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $251.19 / $691.83	Facility		$69.18	$251.19	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $870.96	Professional		$50.12	$100.00	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $177.83	Facility		$64.57	$83.18	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $104.71	Professional		$45.71	$66.07	$104.71