Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $107.15	Professional		$45.71	$93.33	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $549.54	Facility		$338.84	$398.11	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $186.21 / $245.47	Professional		$48.98	$186.21	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $125.89	Facility		$85.11	$107.15	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $154.88	Professional		$109.65	$120.23	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $257.04	Facility		$93.33	$120.23	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $117.49	Professional		$39.81	$60.26	$117.49
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 $112.20 / $190.55 / $302.00	Professional		$112.20	$190.55	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $645.65	Facility		$257.04	$257.04	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $194.98 / $812.83	Professional		$48.98	$194.98	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $95.50	Professional		$39.81	$57.54	$95.50