Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $50.12	Professional		$22.91	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Professional		$51.29	$51.29	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $234.42	Facility		$144.54	$169.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $104.71	Professional		$25.12	$77.62	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $53.70	Facility		$38.90	$45.71	$53.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $128.82	Professional		$48.98	$66.07	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $83.18	Facility		$41.69	$51.29	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $50.12	Professional		$20.42	$26.92	$50.12
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 $54.95 / $83.18 / $158.49	Professional		$54.95	$83.18	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $331.13	Facility		$109.65	$109.65	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $81.28 / $407.38	Professional		$25.12	$81.28	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $40.74	Professional		$20.42	$26.30	$40.74