Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $44.67	Professional		$19.95	$37.15	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $54.95	Professional		$45.71	$45.71	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $208.93	Facility		$128.82	$151.36	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $70.79 / $93.33	Professional		$21.88	$70.79	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $48.98	Facility		$35.48	$40.74	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $107.15	Professional		$43.65	$81.28	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $100.00	Facility		$38.02	$45.71	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $44.67	Professional		$17.78	$22.91	$44.67
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 $48.98 / $74.13 / $134.90	Professional		$48.98	$74.13	$134.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $239.88	Facility		$97.72	$97.72	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $74.13 / $288.40	Professional		$21.88	$74.13	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $36.31	Professional		$17.78	$22.39	$36.31