Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $52.48	Professional		$23.99	$45.71	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Professional		$53.70	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $177.83 / $245.47	Facility		$154.88	$177.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $83.18 / $109.65	Professional		$25.70	$83.18	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $57.54	Facility		$41.69	$47.86	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $123.03	Professional		$51.29	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $114.82	Facility		$44.67	$57.54	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $52.48	Professional		$20.89	$27.54	$52.48
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 $57.54 / $87.10 / $162.18	Professional		$57.54	$87.10	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $302.00	Facility		$114.82	$114.82	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $87.10 / $338.84	Professional		$25.70	$87.10	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $42.66	Professional		$20.89	$26.92	$42.66