Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $194.98	Professional		$117.49	$138.04	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $154.88	Professional		$32.36	$70.79	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Facility		$691.83	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $363.08	Professional		$288.40	$323.59	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $218.78	Facility		$117.49	$151.36	$218.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,445.44	Professional		$954.99	$1,122.02	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $245.47	Facility		$117.49	$151.36	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
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 Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69