Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $107.15	Professional		$54.95	$95.50	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $549.54	Facility		$338.84	$398.11	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $181.97 / $245.47	Professional		$51.29	$181.97	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $125.89	Facility		$87.10	$104.71	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $257.04	Professional		$114.82	$154.88	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $257.04	Facility		$93.33	$125.89	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $117.49	Professional		$41.69	$60.26	$117.49
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 $117.49 / $194.98 / $323.59	Professional		$117.49	$194.98	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $616.60	Facility		$257.04	$257.04	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $190.55 / $630.96	Professional		$51.29	$190.55	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $95.50	Professional		$41.69	$58.88	$95.50