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 $61.66 / $100.00 / $125.89	Professional		$61.66	$100.00	$125.89
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 $57.54 / $181.97 / $245.47	Professional		$57.54	$181.97	$245.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $125.89	Facility		$91.20	$104.71	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $181.97	Professional		$114.82	$154.88	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $269.15	Facility		$100.00	$125.89	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $117.49	Professional		$46.77	$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 $128.82 / $194.98 / $363.08	Professional		$128.82	$194.98	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $758.58	Facility		$257.04	$257.04	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $190.55 / $870.96	Professional		$57.54	$190.55	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $95.50	Professional		$46.77	$60.26	$95.50