Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $48.98	Professional		$28.18	$34.67	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $147.91	Professional		$42.66	$69.18	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $218.78	Facility		$117.49	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $91.20	Professional		$35.48	$60.26	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $51.29	Facility		$30.20	$37.15	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $85.11	Facility		$30.20	$38.90	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $338.84	Professional		$39.81	$67.61	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $141.25	Professional		$54.95	$97.72	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $275.42	Facility		$81.28	$81.28	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $102.33 / $346.74	Professional		$35.48	$102.33	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Facility		$489.78	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $138.04	Professional		$39.81	$58.88	$138.04