Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $75.86	Professional		$38.90	$67.61	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$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 $38.90 / $120.23 / $162.18	Professional		$38.90	$120.23	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $83.18	Facility		$61.66	$70.79	$83.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $173.78	Professional		$75.86	$147.91	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $169.82	Facility		$67.61	$83.18	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $77.62	Professional		$31.62	$40.74	$77.62
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 / $128.82 / $239.88	Professional		$85.11	$128.82	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $457.09	Facility		$169.82	$169.82	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $125.89 / $501.19	Professional		$38.90	$125.89	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $63.10	Professional		$31.62	$39.81	$63.10