Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $61.66	Professional		$30.20	$53.70	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $75.86	Professional		$63.10	$63.10	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $288.40	Facility		$177.83	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $95.50 / $128.82	Professional		$30.90	$95.50	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $66.07	Facility		$48.98	$56.23	$66.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $120.23	Professional		$60.26	$107.15	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $134.90	Facility		$54.95	$66.07	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $61.66	Professional		$25.12	$32.36	$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 $67.61 / $102.33 / $194.98	Professional		$67.61	$102.33	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $371.54	Facility		$134.90	$134.90	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $102.33 / $407.38	Professional		$30.90	$102.33	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $50.12	Professional		$25.12	$32.36	$50.12