Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $91.20	Professional		$40.74	$77.62	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $457.09	Facility		$281.84	$331.13	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $151.36 / $204.17	Professional		$44.67	$151.36	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $104.71	Facility		$77.62	$89.13	$104.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $204.17	Professional		$95.50	$154.88	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $213.80	Facility		$77.62	$100.00	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $97.72	Professional		$36.31	$50.12	$97.72
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 $102.33 / $162.18 / $275.42	Professional		$102.33	$162.18	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Facility		$213.80	$213.80	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $158.49 / $602.56	Professional		$44.67	$158.49	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $79.43	Professional		$36.31	$48.98	$79.43