Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $63.10	Professional		$30.20	$53.70	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $77.62	Professional		$64.57	$64.57	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $295.12	Facility		$181.97	$213.80	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $128.82	Professional		$32.36	$97.72	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $67.61	Facility		$48.98	$58.88	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $134.90	Professional		$61.66	$114.82	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.61 / $138.04	Facility		$54.95	$67.61	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $61.66	Professional		$26.30	$33.11	$61.66
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 $69.18 / $102.33 / $199.53	Professional		$69.18	$102.33	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $407.38	Facility		$138.04	$138.04	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $102.33 / $426.58	Professional		$32.36	$102.33	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $50.12	Professional		$26.30	$33.11	$50.12