Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $112.20	Professional		$52.48	$87.10	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $478.63	Facility		$295.12	$346.74	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $158.49 / $208.93	Professional		$48.98	$158.49	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $109.65	Facility		$79.43	$91.20	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $257.04	Professional		$100.00	$154.88	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $223.87	Facility		$85.11	$109.65	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $102.33	Professional		$39.81	$52.48	$102.33
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 / $165.96 / $309.03	Professional		$112.20	$165.96	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $537.03	Facility		$223.87	$223.87	$537.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $165.96 / $549.54	Professional		$48.98	$165.96	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $81.28	Professional		$39.81	$51.29	$81.28