Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $95.50	Professional		$44.67	$85.11	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Professional		$97.72	$97.72	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $446.68	Facility		$275.42	$323.59	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $147.91 / $194.98	Professional		$47.86	$147.91	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $102.33	Facility		$74.13	$87.10	$102.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $204.17	Professional		$93.33	$120.23	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $208.93	Facility		$83.18	$102.33	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $95.50	Professional		$38.90	$50.12	$95.50
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 $104.71 / $154.88 / $302.00	Professional		$104.71	$154.88	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $524.81	Facility		$208.93	$208.93	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $154.88 / $616.60	Professional		$47.86	$154.88	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $75.86	Professional		$38.90	$50.12	$75.86