Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $138.04	Professional		$67.61	$79.43	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Facility		$154.88	$154.88	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $173.78	Professional		$114.82	$144.54	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $354.81 / $758.58	Facility		$97.72	$354.81	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $218.78 / $288.40	Professional		$70.79	$218.78	$288.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $190.55	Facility		$74.13	$123.03	$190.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $194.98	Professional		$87.10	$151.36	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $776.25	Facility		$75.86	$151.36	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $181.97	Professional		$70.79	$97.72	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $91.20	Professional		$54.95	$70.79	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $457.09	Professional		$154.88	$229.09	$457.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $309.03 / $912.01	Facility		$97.72	$309.03	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $1,023.29	Professional		$70.79	$141.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $239.88	Facility		$87.10	$109.65	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $128.82	Professional		$60.26	$77.62	$128.82