Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $79.43	Professional		$30.90	$67.61	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $389.05	Facility		$239.88	$281.84	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $131.83 / $173.78	Professional		$36.31	$131.83	$173.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $91.20	Facility		$66.07	$75.86	$91.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $223.87	Professional		$81.28	$169.82	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $181.97	Facility		$66.07	$91.20	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $83.18	Professional		$29.51	$43.65	$83.18
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 $83.18 / $138.04 / $223.87	Professional		$83.18	$138.04	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $478.63	Facility		$181.97	$181.97	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $138.04 / $501.19	Professional		$36.31	$138.04	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $67.61	Professional		$29.51	$41.69	$67.61