Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $79.43	Professional		$34.67	$70.79	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $389.05	Facility		$239.88	$281.84	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $128.82 / $169.82	Professional		$36.31	$128.82	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $89.13	Facility		$63.10	$74.13	$89.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $190.55	Professional		$81.28	$107.15	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $181.97	Facility		$64.57	$89.13	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $81.28	Professional		$29.51	$42.66	$81.28
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 $83.18 / $134.90 / $223.87	Professional		$83.18	$134.90	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $398.11	Facility		$181.97	$181.97	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $134.90 / $478.63	Professional		$36.31	$134.90	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $66.07	Professional		$29.51	$39.81	$66.07