Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $87.10	Professional		$43.65	$75.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $407.38	Facility		$251.19	$288.40	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $134.90 / $177.83	Professional		$43.65	$134.90	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $93.33	Facility		$67.61	$79.43	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $158.49	Professional		$85.11	$112.20	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $186.21	Facility		$75.86	$93.33	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $85.11	Professional		$35.48	$45.71	$85.11
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 $95.50 / $141.25 / $275.42	Professional		$95.50	$141.25	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $501.19	Facility		$186.21	$186.21	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $141.25 / $602.56	Professional		$43.65	$141.25	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $69.18	Professional		$35.48	$45.71	$69.18