Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $77.62	Professional		$30.20	$57.54	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Professional		$87.10	$87.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $398.11	Facility		$251.19	$288.40	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $134.90 / $177.83	Professional		$33.11	$134.90	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $93.33	Facility		$58.88	$77.62	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $147.91	Professional		$85.11	$107.15	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $186.21	Facility		$67.61	$89.13	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $85.11	Professional		$26.92	$44.67	$85.11
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 $77.62 / $128.82 / $208.93	Professional		$77.62	$128.82	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Facility		$186.21	$186.21	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $141.25 / $467.74	Professional		$33.11	$141.25	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $69.18	Professional		$26.92	$41.69	$69.18