Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $154.88	Professional		$85.11	$120.23	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $616.60	Facility		$389.05	$446.68	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $208.93 / $275.42	Professional		$69.18	$208.93	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $144.54	Facility		$104.71	$120.23	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $173.78	Professional		$128.82	$158.49	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $288.40	Facility		$117.49	$144.54	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $131.83	Professional		$56.23	$70.79	$131.83
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 $144.54 / $218.78 / $426.58	Professional		$144.54	$218.78	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $870.96	Facility		$288.40	$288.40	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $218.78 / $912.01	Professional		$69.18	$218.78	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Professional		$54.95	$70.79	$107.15