Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $87.10	Professional		$36.31	$70.79	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $457.09	Facility		$281.84	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $151.36 / $204.17	Professional		$38.90	$151.36	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $104.71	Facility		$70.79	$87.10	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $141.25	Professional		$95.50	$114.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $213.80	Facility		$77.62	$100.00	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $97.72	Professional		$31.62	$50.12	$97.72
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 $89.13 / $151.36 / $245.47	Professional		$89.13	$151.36	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $436.52	Facility		$213.80	$213.80	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $158.49 / $537.03	Professional		$38.90	$158.49	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $79.43	Professional		$31.62	$47.86	$79.43