Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $74.13	Professional		$34.67	$64.57	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $363.08	Facility		$223.87	$263.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $120.23 / $162.18	Professional		$38.02	$120.23	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $83.18	Facility		$60.26	$69.18	$83.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $158.49	Professional		$75.86	$109.65	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $169.82	Facility		$66.07	$79.43	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $77.62	Professional		$30.90	$39.81	$77.62
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 $85.11 / $128.82 / $234.42	Professional		$85.11	$128.82	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $407.38	Facility		$169.82	$169.82	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $125.89 / $512.86	Professional		$38.02	$125.89	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $63.10	Professional		$30.90	$39.81	$63.10