Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $112.20	Facility		$50.12	$50.12	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $72.44	Professional		$50.12	$52.48	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $97.72	Professional		$28.84	$53.70	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $173.78	Facility		$53.70	$100.00	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $61.66	Professional		$48.98	$53.70	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $60.26	Facility		$28.18	$41.69	$60.26
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 $28.18 / $51.29 / $190.55	Facility		$28.18	$51.29	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $69.18	Professional		$52.48	$52.48	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $64.57	Professional		$41.69	$54.95	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $93.33	Professional		$44.67	$67.61	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $933.25	Facility		$53.70	$53.70	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Facility		$91.20	$91.20	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $72.44	Professional		$52.48	$52.48	$72.44