Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $125.89	Professional		$64.57	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $239.88	Facility		$147.91	$147.91	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $165.96	Professional		$109.65	$138.04	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $338.84 / $724.44	Facility		$89.13	$338.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $208.93 / $275.42	Professional		$66.07	$208.93	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $181.97	Facility		$70.79	$117.49	$181.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $263.03	Professional		$131.83	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $144.54 / $724.44	Facility		$72.44	$144.54	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $173.78	Professional		$66.07	$95.50	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $457.09	Professional		$147.91	$223.87	$457.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $295.12 / $870.96	Facility		$89.13	$295.12	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $870.96	Professional		$66.07	$131.83	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $234.42	Facility		$77.62	$107.15	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $123.03	Professional		$57.54	$72.44	$123.03