Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $52.48	Professional		$25.12	$45.71	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $275.42	Facility		$169.82	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $93.33 / $123.03	Professional		$26.30	$93.33	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $63.10	Facility		$45.71	$53.70	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $125.89	Professional		$57.54	$97.72	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $128.82	Facility		$46.77	$60.26	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $58.88	Professional		$21.38	$30.20	$58.88
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 $60.26 / $97.72 / $162.18	Professional		$60.26	$97.72	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $295.12	Facility		$128.82	$128.82	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $97.72 / $346.74	Professional		$26.30	$97.72	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $47.86	Professional		$21.38	$29.51	$47.86