Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $66.07	Professional		$26.92	$52.48	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $346.74	Facility		$213.80	$251.19	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $114.82 / $154.88	Professional		$28.84	$114.82	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $79.43	Facility		$52.48	$66.07	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $141.25	Professional		$72.44	$97.72	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $162.18	Facility		$58.88	$75.86	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $74.13	Professional		$23.44	$38.02	$74.13
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 $66.07 / $109.65 / $177.83	Professional		$66.07	$109.65	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $338.84	Facility		$162.18	$162.18	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $120.23 / $371.54	Professional		$28.84	$120.23	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $60.26	Professional		$23.44	$35.48	$60.26