Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $44.67	Professional		$19.05	$37.15	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $165.96 / $229.09	Facility		$144.54	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $77.62 / $102.33	Professional		$20.89	$77.62	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $53.70	Facility		$35.48	$45.71	$53.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $120.23	Professional		$47.86	$70.79	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $107.15	Facility		$42.66	$50.12	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $48.98	Professional		$16.98	$25.70	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $128.82	Professional		$47.86	$79.43	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $239.88	Facility		$107.15	$107.15	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $81.28 / $281.84	Professional		$20.89	$81.28	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $39.81	Professional		$16.98	$24.55	$39.81