Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $64.57	Professional		$33.11	$58.88	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Professional		$69.18	$69.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $316.23	Facility		$194.98	$229.09	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $107.15 / $141.25	Professional		$33.11	$107.15	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.66 / $77.62	Facility		$53.70	$61.66	$77.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $134.90	Professional		$66.07	$109.65	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $147.91	Facility		$57.54	$72.44	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $67.61	Professional		$26.92	$34.67	$67.61
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 $74.13 / $112.20 / $204.17	Professional		$74.13	$112.20	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $398.11	Facility		$147.91	$147.91	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $112.20 / $416.87	Professional		$33.11	$112.20	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $54.95	Professional		$26.92	$33.88	$54.95