Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $107.15	Professional		$63.10	$77.62	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $51.29 / $61.66	Professional		$5.01	$51.29	$61.66
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 $48.98 / $54.95 / $63.10	Professional		$48.98	$54.95	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $120.23	Facility		$45.71	$77.62	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $131.83	Professional		$83.18	$100.00	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $120.23	Facility		$45.71	$77.62	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $144.54	Professional		$43.65	$66.07	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $144.54	Professional		$44.67	$66.07	$144.54