Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $70.79	Professional		$39.81	$50.12	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $194.98	Professional		$60.26	$91.20	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $128.82	Professional		$50.12	$87.10	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $72.44	Facility		$43.65	$53.70	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $117.49	Facility		$42.66	$56.23	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $478.63	Professional		$56.23	$95.50	$478.63
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 $79.43 / $141.25 / $204.17	Professional		$79.43	$141.25	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $398.11	Facility		$114.82	$114.82	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $144.54 / $501.19	Professional		$50.12	$144.54	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $537.03	Facility		$407.38	$407.38	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $194.98	Professional		$56.23	$83.18	$194.98