Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $72.44	Professional		$37.15	$67.61	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $363.08	Facility		$223.87	$263.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $120.23 / $158.49	Professional		$37.15	$120.23	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $83.18	Facility		$60.26	$70.79	$83.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $186.21	Professional		$75.86	$154.88	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $165.96	Facility		$64.57	$83.18	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $75.86	Professional		$30.20	$39.81	$75.86
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 $85.11 / $125.89 / $229.09	Professional		$85.11	$125.89	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $446.68	Facility		$165.96	$165.96	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $467.74	Professional		$37.15	$125.89	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $61.66	Professional		$30.20	$38.02	$61.66