Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $123.03	Professional		$60.26	$107.15	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Professional		$123.03	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $562.34	Facility		$354.81	$407.38	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $190.55 / $251.19	Professional		$61.66	$190.55	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $109.65 / $131.83	Facility		$95.50	$109.65	$131.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $346.74	Professional		$117.49	$158.49	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $323.59	Facility		$107.15	$131.83	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $120.23	Professional		$50.12	$64.57	$120.23
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 $131.83 / $199.53 / $389.05	Professional		$131.83	$199.53	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $812.83	Facility		$263.03	$263.03	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $199.53 / $1,047.13	Professional		$61.66	$199.53	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $97.72	Professional		$50.12	$64.57	$97.72