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 $39.81 / $75.86 / $91.20	Professional		$39.81	$75.86	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Professional		$97.72	$97.72	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $446.68	Facility		$281.84	$323.59	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $151.36 / $199.53	Professional		$43.65	$151.36	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $104.71	Facility		$75.86	$89.13	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $269.15	Professional		$95.50	$125.89	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $223.87	Facility		$75.86	$100.00	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $95.50	Professional		$35.48	$50.12	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $70.79	Professional		$20.42	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $575.44	Facility		$208.93	$208.93	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $158.49 / $724.44	Professional		$43.65	$158.49	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $77.62	Professional		$34.67	$46.77	$77.62