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 $33.88 / $38.90 / $64.57	Professional		$33.88	$38.90	$64.57
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 $74.13 / $79.43 / $117.49	Professional		$74.13	$79.43	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $181.97 / $389.05	Facility		$61.66	$181.97	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $151.36	Professional		$52.48	$114.82	$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 / $107.15 / $134.90	Professional		$70.79	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $338.84	Facility		$39.81	$77.62	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $89.13	Professional		$34.67	$47.86	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $83.18	Professional		$43.65	$58.88	$83.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $218.78	Professional		$79.43	$120.23	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $363.08	Facility		$61.66	$158.49	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $398.11	Professional		$52.48	$97.72	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $114.82	Facility		$45.71	$52.48	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $64.57	Professional		$28.84	$38.90	$64.57